Individual
DR. ANDREW PAUL-RALPHAEL MANFRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2329
(702) 383-2000
Mailing address
1842 NAPOLEON DR, LAS VEGAS, NV 89156-7184
(702) 373-1236
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11794600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
01/04/2024
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