MR. TY MANGUM, PA
Physician Assistant
Active
Individual
NPI: 1194340158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | 085008692 (IL) |
Frequently Asked Questions
NPI 1194340158 is the National Provider Identifier for MR. TY MANGUM, PA, a Physician Assistant provider located in St George, UT. This NPI was enumerated on June 15, 2020.
MR. TY MANGUM, PA practices at 595 W 600 N, St George, UT 84770.
Quick Facts
- NPI
- 1194340158
- Type
- Individual
- Enumerated
- Jun 15, 2020
- Last Updated
- Jan 4, 2022
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