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Individual

DR. JOSEPH M MANN III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
163 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 747-7272
(760) 745-3766
Mailing address
163 N DATE ST, ESCONDIDO, CA 92025-3405
(760) 747-7272
(760) 745-3766

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G21242
CA
207XS0106X
Orthopaedic Hand Surgery Physician
G21242
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G212420
CA
Enumeration date
10/12/2005
Last updated
06/23/2011
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