NPI 1235573148

Jared K. Manwaring, MD

Practitioner Urology Physician Idaho Falls, ID

Practice location

Address: 2375 Coronado St, Idaho Falls, ID 83404-7407
Phone: (208) 552-1234
Fax: (208) 529-1948

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence M-14260 (ID)

Other Urology providers in Idaho →

Registry record

NPI: 1235573148
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Apr 2013
Record last updated: 7 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.