Provider Demographics
NPI:1871588996
Name:MANNING, JAMES B (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:B
Last Name:MANNING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2680 CRIMSON CANYON DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0841
Mailing Address - Country:US
Mailing Address - Phone:702-228-7355
Mailing Address - Fax:702-228-4499
Practice Address - Street 1:2680 CRIMSON CANYON DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0841
Practice Address - Country:US
Practice Address - Phone:702-228-7355
Practice Address - Fax:702-228-4499
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2019-07-24
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Provider Licenses
StateLicense IDTaxonomies
NV5684207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2002216Medicaid
NVVWQBCQ02Medicare PIN
NV2002216Medicaid