Individual
DOUGLAS B MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3125 N DYSART RD, AVONDALE, AZ 85392-1208
(602) 726-8940
(602) 726-8941
Mailing address
3125 N DYSART RD, AVONDALE, AZ 85392-1208
(602) 726-8940
(602) 726-8941
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32915
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866197
—
AZ
Enumeration date
08/16/2005
Last updated
03/05/2018
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