Demitra T Manjoros is a Surgery in Prescott, Arizona. Demitra T Manjoros practices all healthcare services and medical treatments related to Surgery. The NPI Number for Demitra T Manjoros is 1811960651. The last update date is 2016-02-03.
Demitra T Manjoros's current location address is Po Box 10880, Prescott, Arizona. You can contact this provider via phone number 9287595987 and fax number 9284582039. The mailing address for Demitra T Manjoros is Po Box 10880, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Demitra T Manjoros |
|---|---|
| Address | Po Box 10880, Prescott, Arizona |
| Phone Number | 9287595987 |
| Fax Number | 9284582039 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811960651 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2016-02-03 |
Provider Mailing Address Detail
| Address | Po Box 10880 |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863040880 |
| Phone Number | 9287595987 |
| Fax Number | 9284582039 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36049 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81522886 | AZ | -- | |
| 36049 | AZ | AZ LICENSE |
Post Comment/ Review Below
What is the Demitra T Manjoros's unique identification number?
The Demitra T Manjoros has been assigned the NPI (National Provider Identifier) Number 1811960651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Demitra T Manjoros located?
The Demitra T Manjoros is located at Po Box 10880, Prescott, AZ 863040880.
What is Demitra T Manjoros's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Demitra T Manjoros is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811960651 to Demitra T Manjoros?
The Centers for Medicare & Medicaid Services originally issued the 1811960651 to Demitra T Manjoros on 2006-02-10.
When was the information regarding Demitra T Manjoros most recently updated?
The details pertaining to the Demitra T Manjoros, including its address, specialty, and other relevant information, were last refreshed on 2016-02-03.