Martin A Mangan, DO

NPI #1972709103 in Rigby, Idaho

Provider Information

NPI Number: 1972709103
Entity Type: Individual
Name: Martin A Mangan, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 25, 2007
Last Updated: Jul 7, 2021

Practice Location

Address: 98 N CAMBRIDGE DR
City: Rigby
State: Idaho
ZIP Code: 83442-5298
Phone: (208) 520-2809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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