MEREDITH MANGUM

DAVID J BUTUK MD PA

Dr MEREDITH MANGUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2015.

Contact

DAVID J BUTUK MD PA

1525 E LEIGHFIELD DR
SUITE 150
MERIDIAN
ID
836465371

Tel: 2088881199

MEREDITH MANGUM Information

Npi 1740663657
Pac Id 6709194830
Professional Enrollment Id I20151008002877
Last Name MANGUM
First Name MEREDITH
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DAVID J BUTUK MD PA
Group Practice Pac Id 5698669422
Number Of Group Practice Members 5
Line 1 Street Address 1525 E LEIGHFIELD DR
Line 2 Street Address SUITE 150
Marker Of Address Line 2 Suppression
City MERIDIAN
State ID
Zip Code 836465371
Phone Number 2088881199
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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