DR. Ryan Duane Mangum, D.C.

NPI #1528258688 in Wasilla, Alaska

Provider Information

NPI Number: 1528258688
Entity Type: Individual
Name: DR. Ryan Duane Mangum, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Jul 25, 2007
Last Updated: Jul 25, 2007

Practice Location

Address: 1700 E BOGARD RD BLDG B
City: Wasilla
State: Alaska
ZIP Code: 99654-6563
Phone: (907) 357-4111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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