WILLIAM D MANGUM

FORT DRUM, NY
NPI1427731108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  032112)
Enumeration Date2023-08-09
Last Update Date2024-08-21
Business Address
WILLIAM D MANGUM PA-C
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602-2603
Phone number: 315-772-6445
Mailing Address
WILLIAM D MANGUM PA-C
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905-2102
Phone number: