BERNARD ALBERT MANGONE


Address: 7771 N 43rd Ave, Phoenix, AZ 85051-5712
Phone: 6028411200

BERNARD ALBERT MANGONE (NPI# 1245670363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245670363
Entity Type Individual
Full Name BERNARD ALBERT MANGONE
Credential D.V.M.
Practice Address 7771 N 43rd Ave
Phoenix
AZ 85051-5712
Mailing Address 16021 N 7th Dr
Phoenix
AZ 85023-4437
Practice Telephone 6028411200
Mailing Telephone 6026955477
Enumeration Date 2013-07-03
Last Update Date 2013-07-03
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174M00000X Veterinarian 3371 AZ Other Service Providers

Office Location

Street Address 7771 N 43RD AVE
City PHOENIX
State AZ
Zip Code 85051-5712

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Taxonomy Information

Taxonomy Code 174M00000X
Grouping Other Service Providers
Classification Veterinarian

Taxonomy Definition

A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467820043 Linda Harry Veterinarian 16407 N 33rd Pl, Phoenix, AZ 85032-3111 2015-09-12
1093112427 Dorie M. Anderssohn Veterinarian 2524 W Bethany Home Rd, Phoenix, AZ 85017-2102 2014-12-01
1417389925 Ryan Broughton Lunt Veterinarian 520 W Union Hills Dr Ste 105, Phoenix, AZ 85027-5633 2013-08-07
1437581121 Michelle R Larsen Veterinarian 14429 S 41st Pl, Phoenix, AZ 85044-6147 2013-08-05
1518303007 Staci Brigham Veterinarian 520 W Union Hills Dr, Suite 105, Phoenix, AZ 85027-5633 2013-05-11
1295170603 Dusty V Cotter Veterinarian 21001 N Tatum Blvd Ste 22, Banfiel The Pet Hospital At Desert Ridge, Phoenix, AZ 85050-4208 2013-04-30
1841635208 Jessica Ilana March Veterinarian 950 W Hatcher Rd, Phoenix, AZ 85021-3139 2013-04-29
1942547260 Bruce G Bean Veterinarian 9226 N 13th Ave, Phoenix, AZ 85021-3022 2013-01-07
1306198437 James Daniel Styre Veterinarian 10825 N Tatum Blvd, Phoenix, AZ 85028-3055 2012-10-13
1760748560 Scott Benjamin Plummer Veterinarian 4202 E Raymond St, Phoenix, AZ 85040-1935 2012-04-05
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Competitor

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City PHOENIX
Zip Code 85051

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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