Individual
SIDRA MANZOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 687-6349
(541) 242-8361
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD197544
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/13/2017
Last updated
01/06/2021
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