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NPI Code Detail

MEDICARE: DR. JAMES K MANTONE MD

MEDICARE: DR. JAMES K MANTONE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician33093NE
2207X00000XOrthopaedic Surgery Physician5144SD
3207X00000XOrthopaedic Surgery PhysicianMD-48023IA

General Provider Information

NPI Number : 1326044041
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES K MANTONE MD
Provider Business Mailing Address
First Line : 8005 FARNAM DR STE 305
Second Line :
City : OMAHA
State : NE
Zip : 68114-3426
Country : US
Telephone Number : 402-390-4111
Fax Number : 402-390-4115
Provider Business Practice Location Address
First Line : 808 E PIERCE ST
Second Line :
City : COUNCIL BLUFFS
State : IA
Zip : 51503-4601
Country : US
Telephone Number : 402-390-4111
Fax Number : 402-390-4115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 12/15/2023

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