Jose G Mangrobang in Nellis Afb - Physician Assistant
Jose G Mangrobang - NPI 1508946294
Jose G Mangrobang is a Physician Assistant in Nellis Afb, Nevada. Jose G Mangrobang practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jose G Mangrobang is 1508946294. The last update date is 2019-06-17.
Jose G Mangrobang's current location address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can contact this provider via phone number 7026532764. The mailing address for Jose G Mangrobang is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose G Mangrobang |
|---|---|
| Address | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
| Phone Number | 7026532764 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508946294 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2019-06-17 |
Provider Mailing Address Detail
| Address | 4700 Las Vegas Blvd N |
|---|---|
| City | Nellis Afb |
| State | Nevada (NV) |
| Post Code | 891916600 |
| Phone Number | 7026532764 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA1565 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Jose G Mangrobang by the Centers for Medicare & Medicaid Services?
The Jose G Mangrobang has been issued the NPI (National Provider Identifier) 1508946294. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jose G Mangrobang?
The Jose G Mangrobang is situated at 4700 Las Vegas Blvd N, in the city of Nellis Afb, state of NV, with the zip code 891916600.
What is the Jose G Mangrobang's area of specialization and corresponding taxonomy classification?
The Jose G Mangrobang's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did Jose G Mangrobang receive its 1508946294 assignment?
The Jose G Mangrobang was assigned its 1508946294 on 2006-10-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Jose G Mangrobang, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jose G Mangrobang, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-06-17.
NPI Number: 1215930573
Address: 209 W Criser Rd, Front Royal, VA