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NPI Code Detail

MEDICARE: ALLISON ELIZABETH MANWEILER PA-C

MEDICARE: ALLISON ELIZABETH MANWEILER PA-C
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1578453742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ELIZABETH MANWEILER PA-C
Provider Business Mailing Address
First Line : 7900 E PRINCESS DR APT 2158
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85255-5817
Country : US
Telephone Number : 281-520-7214
Fax Number :
Provider Business Practice Location Address
First Line : 325 E BASELINE RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85042-6589
Country : US
Telephone Number : 602-243-7277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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