Individual
DR. VICTOR R MANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL PLZ, CASSVILLE, MO 65625-1602
(417) 847-5225
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
100278
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155444
MO BLUE SHIELD
MO
01
—
99266
ARK BLUE SHIELD
AR
Enumeration date
02/15/2007
Last updated
07/09/2007
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