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Contact Information

MARIBEL O MANGILOG, MD
4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH45433
 Phone: 937-257-9392
 Fax: 937-256-1175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARIBEL O MANGILOG · (Female)

NPI Number 1285729137
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2006
Last updated 01/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18429
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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