JEROME KEITH MANSON M.D.
Individual Provider (NPI-1)
Active
Surgery
Provider Information
- NPI Number
1073926432- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 200 W ARBOR DR, SAN DIEGO, CA, 921039000
- Phone
- (800) 926-8273
- Fax
- (888) 539-8781
Specialties & Taxonomies
Surgery
License: AZ #R74518
Colon & Rectal Surgery
License: MN #66926
Colon & Rectal Surgery
License: CA #A196663
Surgery
Primary License: CA #A196663
All Addresses
MAILING
FILE 57326
LOS ANGELES, CA, 900740001