Organization
MARLON G MANGAHAS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLON MANGAHAS MD (OWNER)
(636) 942-2223
Entity
Organization
Contact information
Practice address
11477 OLDE CABIN RD, SUITE 210, CREVE COEUR, MO 63141-7130
(314) 997-5208
(314) 997-5368
Mailing address
11477 OLDE CABIN RD, SUITE 210, CREVE COEUR, MO 63141-7130
(314) 997-5208
(314) 997-5368
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007006296
MO
Other
Enumeration date
03/18/2011
Last updated
12/20/2012
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