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NPI Code Detail

MEDICARE: JAMES A MANKIN M.D.

MEDICARE: JAMES A MANKIN M.D.
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
12086S0127XTrauma Surgery Physician33342AZ
2208600000XSurgery Physician33342AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942310297
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES A MANKIN M.D.
Provider Business Mailing Address
First Line : PO BOX 32369
Second Line :
City : PHOENIX
State : AZ
Zip : 85064-2369
Country : US
Telephone Number : 602-406-4786
Fax Number : 916-636-4358
Provider Business Practice Location Address
First Line : 3477 S MERCY RD STE 208
Second Line :
City : GILBERT
State : AZ
Zip : 85297-0448
Country : US
Telephone Number : 480-728-6880
Fax Number : 480-728-6281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 12/18/2025

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