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Contact Information

ANTONIO S MANALO, MD
900 CHURCH ST
SPRINGFIELD, CO81073
 Phone: 719-523-6221
 Fax: 719-523-4290
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ANTONIO S MANALO · (Male)

NPI Number 1609944313
Status Active
Credentials MD
Entity Individual
Enumeration date 12/01/2006
Last updated 01/17/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 21312
  • CO Medicaid 01213123
Hospital affiliation(s)
  • SOUTHEAST COLORADO HOSPITAL - (Critical Access)
    373 E TENTH AVE
    SPRINGFIELD, CO 81073
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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