Most Relevant Information
Provider Data
| NPI Number: | 1003048901 |
| Provider Name: | LAURA MANIGO PA-C, MMS |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | PA 10004828 |
Most Important Dates
| Enumeration Date: | 08/11/2009 |
| Last Updated: | 12/11/2023 |
Provider Practice Location
13090 N 94TH DR STE 202
PEORIA
AZ
853814258
Practice Location Phone/Fax
| Phone: | 2062907684 |
| Fax: |
Provider Mailing Location
8150 N 61ST AVE APT 1021
GLENDALE
AZ
853026757
Provider Mailing Phone/Fax
| Phone: | 2062907684 |
| Fax: |