MARCELO J. MANTALA

SPRINGFIELD, MO
NPI1710089644
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  116600)
Enumeration Date2006-09-01
Last Update Date2013-05-07
Business Address
Dr. MARCELO J. MANTALA MD
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804-2203
Phone number: 417-820-2600
Mailing Address
Dr. MARCELO J. MANTALA MD
PO BOX 2580
SPRINGFIELD, MO 65801-2580
Phone number: 417-829-4620
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