Jared K. Manwaring, MD

NPI #1235573148 in Idaho Falls, Idaho

Provider Information

NPI Number: 1235573148
Entity Type: Individual
Name: Jared K. Manwaring, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: MD
Enumeration Date: Apr 22, 2013
Last Updated: Jun 7, 2021

Practice Location

Address: 2375 CORONADO ST
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7407
Phone: (208) 552-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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