Marlon Mangahas M.D.

NPI 1093916439 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093916439
Gender Male
Enumeration Date 05/31/2007
Last Updated 12/28/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11477 OLDE CABIN RD
SAINT LOUIS MO, 63141-7130, US
Phone (314) 997-5208
Fax
Business Location
8835 WRENWOOD LN
BRENTWOOD MO, 63144-1703, US
Phone (314) 962-1339
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Missouri
License Number 2007006296
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According to our database, Dr. Marlon Mangahas M.D. NPI is 1093916439, taxonomy code is 2084P0800X and license number is 2007006296, license state is located at Missouri. Marlon Mangahas M.D. physically located at 11477 Olde Cabin Rd, Saint Louis MO, 63141-7130. NPI Number Marlon Mangahas M.D. has the Individual type.

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1093916439 NPI number is provided on an as is basis without warranty of any kind. 1093916439 is maintained by the National Plan & Provider Enumeration System. The contents of Marlon Mangahas M.D. are for informational purposes only.