Country Doctor INC
NPI #1821550310 in Peoria, Arizona
Provider Information
- NPI Number
- 1821550310
- Entity Type
- Organization
- Organization Name
- Country Doctor INC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 3, 2019
- Last Updated
- Apr 11, 2019
Practice Location
Authorized Official
- Name
- PAUL LEE MANGANELLI SR.
- Title
- PRESIDENT
- Phone
- (623) 815-0827
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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