Individual
PATRICK EMANUEL MANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
70185
AZ
207L00000X
Anesthesiology Physician
Primary
D94211
MD
Other
Enumeration date
04/03/2018
Last updated
10/30/2023
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