Mangum, Michael Ross

Mangum, Michael Ross is an individual health care provider with primary practice located at 1919 E Thomas Rd , Phoenix AZ 85016-7710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. Mangum, Michael Ross can be contacted via phone (602) 933-1000.

Contact Information

Primary practice address
1919 E Thomas Rd Phoenix AZ 85016-7710
Phone: (602) 933-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 57.000000 Ohio
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 61621 Arizona

Profile Details

NPI number 1891112108
LBN Legal business name Mangum, Michael Ross
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2014
Last updated Oct 13th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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