Stephen Mannas, MD | |
2700 Farmington Ave Ste 1, Farmington, NM 87401-4559 | |
(505) 609-6830 | |
Not Available |
Full Name | Stephen Mannas |
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Gender | Male |
Speciality | Urology |
Location | 2700 Farmington Ave Ste 1, Farmington, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528598000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 33150 (Oklahoma) | Secondary |
208800000X | Urology | MD2022-1153 (New Mexico) | Primary |
208800000X | Urology | DR.0069193 (Colorado) | Secondary |
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033327770 PECOS PAC ID: 4587559505 Enrollment ID: O20170309000357 |
Mailing Address | Practice Location Address |
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Stephen Mannas, MD Po Box 844088, Dallas, TX 75284-4088 Ph: (505) 609-2258 | Stephen Mannas, MD 2700 Farmington Ave Ste 1, Farmington, NM 87401-4559 Ph: (505) 609-6830 |
Dr. James F Burpee, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401 Phone: 505-327-9111 Fax: 505-327-2730 | |
Dr. Allen Wilson Mcculloch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2300 E 30th, Bldg B Suite 106, Farmington, NM 87401 Phone: 505-327-9111 Fax: 505-327-2730 |