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Search › Kansas › 207Q00000X

Joshua Mandeville, D.O

NPI 1790985398 · on the registry since 2007

Practice

Address
550 Pope Ave
Fort Leavenworth, KS 66027
Phone
(913) 684-6648
Fax
(913) 684-6441
Organisation at this address
Mahc
Ahc Munson-Leavenworth
Munson Army Health Center
Munson Army Health Center
Munson Army Health Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
212

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-31

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 Kansas