JONATHAN LYLE MANZER

CARTHAGE, MO
NPI1407848971
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  2004001464)
Enumeration Date2005-08-19
Last Update Date2013-09-16
Business Address
-- JONATHAN LYLE MANZER M.D.
3071 S GRAND AVE
CARTHAGE, MO 64836-7851
Phone number: 417-358-4811
Mailing Address
-- JONATHAN LYLE MANZER M.D.
3071 S GRAND AVE
CARTHAGE, MO 64836-7851
Phone number: 417-358-4811