Search › Idaho › 111N00000X
Jared Mangum, DC, MBA, LMT
NPI 1578820247 · on the registry since 2012
Practice
- Address
- 8659 N Rude St
Hayden, ID 83835 - Phone
- (801) 762-7447
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho