Individual
DONALD N. MANGRAVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1114 CURTIS ST, ALBANY, CA 94706-2421
(510) 526-8034
Mailing address
1114 CURTIS ST, ALBANY, CA 94706-2421
(510) 526-8034
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G33076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G330760
—
CA
Enumeration date
11/01/2006
Last updated
07/31/2008
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