MANUEL E IZQUIERDO

VIDANT MEDICAL GROUP LLC

Dr MANUEL E IZQUIERDO is a male medical professional, specializing in Pediatric Medicine. He graduated in 2015.

Contact

VIDANT MEDICAL GROUP LLC

111 HOSPITAL DR
TARBORO
NC
278862011

Tel: 2526418585

MANUEL E IZQUIERDO Information

Npi 1871972877
Pac Id 2567760432
Professional Enrollment Id I20170717002054
Last Name IZQUIERDO
First Name MANUEL
Middle Name E
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2015
Primary Specialty PEDIATRIC MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name VIDANT MEDICAL GROUP LLC
Group Practice Pac Id 0345343893
Number Of Group Practice Members 645
Line 1 Street Address 111 HOSPITAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TARBORO
State NC
Zip Code 278862011
Phone Number 2526418585
Hospital Affiliation Ccn 1 340107
Hospital Affiliation Lbn 1 VIDANT EDGECOMBE HOSPITAL
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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