Martin A Mangan is a Family Medicine in Rigby, Idaho. Martin A Mangan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Martin A Mangan is 1972709103. The last update date is 2021-07-07.
Martin A Mangan's current location address is 98 N Cambridge Dr, Rigby, Idaho. You can contact this provider via phone number 2085202809 and fax number 2082254249. The mailing address for Martin A Mangan is 98 N Cambridge Dr, Rigby, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martin A Mangan |
|---|---|
| Address | 98 N Cambridge Dr, Rigby, Idaho |
| Phone Number | 2085202809 |
| Fax Number | 2082254249 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1972709103 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2021-07-07 |
Provider Mailing Address Detail
| Address | 98 N Cambridge Dr |
|---|---|
| City | Rigby |
| State | Idaho (ID) |
| Post Code | 834425298 |
| Phone Number | 2085202809 |
| Fax Number | 2082254249 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | O-0518 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MR 0934 | ID | STATE LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Martin A Mangan?
The Martin A Mangan has been issued the NPI (National Provider Identifier) 1972709103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Martin A Mangan's facilities are situated?
The facilities of Martin A Mangan are physically located at the following address: 98 N Cambridge Dr, Rigby, ID, 834425298.
What is Martin A Mangan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Martin A Mangan's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1972709103 to Martin A Mangan?
The Martin A Mangan received its 1972709103 assignment from the Centers for Medicare & Medicaid Services on 2007-06-25.
As of what date was the information pertaining to Martin A Mangan, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Martin A Mangan, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-07-07.