Marci Rae Mangold in Kalispell - Physician Assistant
Marci Rae Mangold - NPI 1932262052
Marci Rae Mangold is a Physician Assistant in Kalispell, Montana. Marci Rae Mangold practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Marci Rae Mangold is 1932262052. The last update date is 2023-11-27.
Marci Rae Mangold's current location address is 160 Heritage Way Ste 202, Kalispell, Montana. You can contact this provider via phone number 4067528433 and fax number 4067566768. The mailing address for Marci Rae Mangold is 160 Heritage Way Ste 202, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marci Rae Mangold |
|---|---|
| Address | 160 Heritage Way Ste 202, Kalispell, Montana |
| Phone Number | 4067528433 |
| Fax Number | 4067566768 |
| Sole Proprietor | Y |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1932262052 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2023-11-27 |
Provider Mailing Address Detail
| Address | 160 Heritage Way Ste 202 |
|---|---|
| City | Kalispell |
| State | Montana (MT) |
| Post Code | 599013127 |
| Phone Number | 4067528433 |
| Fax Number | 4067566768 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 310 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301947 | MT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marci Rae Mangold by the Centers for Medicare & Medicaid Services (CMS)?
The Marci Rae Mangold has been assigned the NPI (National Provider Identifier) 1932262052. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Marci Rae Mangold located?
The Marci Rae Mangold is located at 160 Heritage Way Ste 202, Kalispell, MT 599013127.
What is the Marci Rae Mangold's specialty and taxonomy code?
The Marci Rae Mangold's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Marci Rae Mangold's 1932262052 issued?
The Marci Rae Mangold's 1932262052 was issued on 2006-12-19.
When was the information pertaining to Marci Rae Mangold most recently updated or revised?
The details related to Marci Rae Mangold, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-27.