Alicia Mangram in Phoenix - Surgical Critical Care
Alicia Mangram - NPI 1972575504
Alicia Mangram is a Surgical Critical Care in Phoenix, Arizona. Alicia Mangram practices all healthcare services and medical treatments related to Surgical Critical Care. The NPI Number for Alicia Mangram is 1972575504. The last update date is 2021-10-21.
Alicia Mangram's current location address is 16601 N 40th St Ste 204, Phoenix, Arizona. You can contact this provider via phone number 6026333721 and fax number 6025951127. The mailing address for Alicia Mangram is 16601 N 40th St Ste 204, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Mangram |
|---|---|
| Address | 16601 N 40th St Ste 204, Phoenix, Arizona |
| Phone Number | 6026333721 |
| Fax Number | 6025951127 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972575504 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2021-10-21 |
Provider Mailing Address Detail
| Address | 16601 N 40th St Ste 204 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850323356 |
| Phone Number | 6026333721 |
| Fax Number | 6025951127 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical Critical Care |
|---|---|
| Taxonomy | 2086S0102X |
| Licence No | 45385 |
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Definition: A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specia |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 665273 | AZ | -- | |
| 144729405 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alicia Mangram by the Centers for Medicare & Medicaid Services?
The Alicia Mangram has been issued the NPI (National Provider Identifier) 1972575504 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Alicia Mangram's physical address?
The Alicia Mangram is physically located at 16601 N 40Th St Ste 204, in the city of Phoenix, AZ, with the postal code 850323356.
What is the area of specialization for Alicia Mangram, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Alicia Mangram is Surgical Critical Care, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0102X.
On what date did the Alicia Mangram receive its 1972575504 assignment from the Centers for Medicare & Medicaid Services?
The Alicia Mangram was assigned its 1972575504 by the Centers for Medicare & Medicaid Services on 2006-02-07.
As of what date was the information pertaining to Alicia Mangram, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alicia Mangram, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-10-21.
NPI Number: 1194728618
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