Search › Missouri › 152W00000X
Mark Manary, O.D
NPI 1972594224 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2421 W Edgewood Dr
Ste A
Jefferson City, MO 65109 - Phone
- (573) 636-2103
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-30
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 Missouri