MEDICARE: DR. NED LEGRANDE MANGELSON 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
1	208800000X	Urology Physician	1465731205	UT

General Provider Information

NPI Number	:	1851627756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NED LEGRANDE MANGELSON M.D.

Provider Business Mailing Address
First Line	:	2691 ROXBURY CIR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2841
Country	:	US
Telephone Number	:	801-582-4567
Fax Number	:

Provider Business Practice Location Address
First Line	:	2691 ROXBURY CIR
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2841
Country	:	US
Telephone Number	:	801-582-4567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2009
Last Update Date	:	10/27/2009

Similar Medicare Providers

1427564756 — KIMBERLY ONILE-OGYGIA LDEM, CPM, JD, CD
Practice Location Address:

243 E 400 S STE 200
SALT LAKE CITY, UT
84111-2841

Practice Phone: 816-695-2998
Practice Fax:

1932720356 — BAYPHARM HEALTH SYSTEMS
Practice Location Address:

1147 SE GRAHAM CT
LAKE CITY, FL
32025-2841

Practice Phone: 727-238-7672
Practice Fax:

1326180688 — DR. LEONARD MARK WILK MD
Practice Location Address:

2841 AVENUE G SUITE , SUITE 100
WHITE CITY, OR
97503-3030

Practice Phone: 541-826-5252
Practice Fax: 541-789-5785

1841410198 — MRS. REBECCA A. LEGGETT APRN-BC
Practice Location Address:

2841 AVENUE G
WHITE CITY, OR
97503-3030

Practice Phone: 541-789-5777
Practice Fax:

1982875720 — DR. HEIDI B. DOUCET P.L.L.C.
Practice Location Address:

2235 TEXAS AVE
BRIDGE CITY, TX
77611-2841

Practice Phone: 409-697-2600
Practice Fax: 409-697-2603

1194043968 — SEED CENTER ROSWELL REHABILITATION ADDICTION PROGRAM
Practice Location Address:

1659 WASHINGTON BLVD
KANSAS CITY, KS
66102-2841

Practice Phone: 913-233-2223
Practice Fax:

Directions to “ DR. NED LEGRANDE MANGELSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.