ALEX MANGAN, MD
Family Medicine
Active
Individual
NPI: 1669163614
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | 125.081574 (IL) |
| Family Medicine | 207Q00000X | Yes | 125.081574 (IL) |
Frequently Asked Questions
NPI 1669163614 is the National Provider Identifier for ALEX MANGAN, MD, a Family Medicine provider located in Peoria, IL. This NPI was enumerated on May 18, 2023.
ALEX MANGAN, MD practices at 815 MAIN ST STE C, Peoria, IL 61602.
Quick Facts
- NPI
- 1669163614
- Type
- Individual
- Enumerated
- May 18, 2023
- Last Updated
- Aug 22, 2023
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