Individual
MR. JASON MCMANIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661
(916) 774-8300
(916) 774-8355
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A11334
CA
208000000X
Pediatrics Physician
46862
CO
Other
Enumeration date
02/06/2007
Last updated
05/15/2015
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