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Individual

SARA MANNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01085880A
IN
207P00000X
Emergency Medicine Physician
2012017697
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001564697
ANTHEM PTAN
IN
01
000001564713
ANTHEM PTAN
IN
05
300053807
IN
Enumeration date
06/22/2012
Last updated
03/14/2025
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