Individual
MR. ELLIOT CHARLES MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2755 SILVER CREEK RD STE 111, BULLHEAD CITY, AZ 86442-8343
(928) 704-7163
(928) 444-1326
Mailing address
2755 SILVER CREEK RD STE 111, BULLHEAD CITY, AZ 86442-8343
(928) 704-7163
(928) 444-1326
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3609
AZ
Other
Enumeration date
12/01/2005
Last updated
08/31/2020
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