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Dr. Joey M Manduano, DO
Plastic and Reconstructive Surgery Physician in Tulsa, Oklahoma
NPI 1578548475

Joey M Manduano is a Plastic and Reconstructive Surgery Physician based in Tulsa, OK and is specialized in Plastic and Reconstructive Surgery. Joey M Manduano practices in Tulsa, OK and has the professional credentials of DO. The NPI Number for Joey M Manduano is 1578548475 and holds a License No. 1628 (Oklahoma).

The current practice location address for Joey M Manduano is 2219 E 21St St, Tulsa, OK and can be reached out via phone at 918-749-5522 and via fax at 918-747-5522.

Location: 2219 E 21St St, Tulsa, OK, 74114-1411
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Provider Profile Details
NPI Number
1578548475
Provider Name
Joey M Manduano
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2219 E 21St St, Tulsa, OK, 74114-1411
Phone Number
918-749-5522
Fax Number
918-747-5522
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
731047122001 01 OK BCBS OF OKLAHOMA
institution
Provider Business Practice Location Address Details
Address
2219 E 21St St
City
State
Zip
74114-1411
Phone Number
918-749-5522
Fax Number
918-747-5522
person
Provider Business Mailing Address Details
Address
2219 E 21St St
City
State
Zip
74114-1411
Phone Number
918-749-5522
Fax Number
918-747-5522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
1628 (Oklahoma)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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