Christian Mangrum D.O.

NPI 1568789675 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1568789675
Gender Male
Enumeration Date 04/28/2010
Last Updated 06/21/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
984120 NEBRASKA MEDICAL CTR
OMAHA NE, 68198-4120, US
Phone (402) 559-6876
Fax (402) 559-9003
Business Location
984120 NEBRASKA MEDICAL CTR
OMAHA NE, 68198-4120, US
Phone (402) 559-6876
Fax (402) 559-9003
Toxanomy
Taxonomy Code 390200000X
License State Oregon
License Number 390200000X
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According to our database, Christian Mangrum D.O. NPI is 1568789675, taxonomy code is 390200000X and license number is 390200000X, license state is located at Oregon. Christian Mangrum D.O. physically located at 984120 Nebraska Medical Ctr, Omaha NE, 68198-4120. NPI Number Christian Mangrum D.O. has the Individual type.

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1568789675 NPI number is provided on an as is basis without warranty of any kind. 1568789675 is maintained by the National Plan & Provider Enumeration System. The contents of Christian Mangrum D.O. are for informational purposes only.