DR. Izzuddin Ali Mansur, M.D.

NPI #1508828344 in Crossville, Tennessee

Provider Information

NPI Number: 1508828344
Entity Type: Individual
Name: DR. Izzuddin Ali Mansur, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Apr 5, 2006
Last Updated: Jun 14, 2021

Practice Location

Address: 49 CLEVELAND ST
Address 2: SUITE 220
City: Crossville
State: Tennessee
ZIP Code: 38555-2855
Phone: (931) 707-8050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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