David E. Mangold is a Medical in Kalispell, Montana. David E. Mangold practices all healthcare services and medical treatments related to Medical. The NPI Number for David E. Mangold is 1164533618. The last update date is 2022-07-21.
David E. Mangold's current location address is 20 Four Mile Dr Ste 2, Kalispell, Montana. You can contact this provider via phone number 4063004882 and fax number 4062572706. The mailing address for David E. Mangold is 20 Four Mile Dr Ste 2, Kalispell, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David E. Mangold |
|---|---|
| Address | 20 Four Mile Dr Ste 2, Kalispell, Montana |
| Phone Number | 4063004882 |
| Fax Number | 4062572706 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1164533618 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 20 Four Mile Dr Ste 2 |
|---|---|
| City | Kalispell |
| State | Montana (MT) |
| Post Code | 599012644 |
| Phone Number | 4063004882 |
| Fax Number | 4062572706 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 323 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 94853 | MT | BC/BS | |
| 4302139 | MT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David E. Mangold by the Centers for Medicare & Medicaid Services?
The David E. Mangold has been assigned the NPI (National Provider Identifier) 1164533618. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David E. Mangold's physical address?
The David E. Mangold is physically located at 20 Four Mile Dr Ste 2, in the city of Kalispell, MT, with the postal code 599012644.
What is the David E. Mangold's specialty and taxonomy code?
The David E. Mangold's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164533618 to David E. Mangold?
The Centers for Medicare & Medicaid Services originally issued the 1164533618 to David E. Mangold on 2006-08-31.
As of what date were the details pertaining to David E. Mangold last refreshed?
The information related to the David E. Mangold, including its address, specialty, and other relevant details, was last updated on 2022-07-21.
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