Mandabach, Jonathan Edward

Mandabach, Jonathan Edward is an individual health care provider with primary practice located at 4175 S Alamo Ave Bldg 400 , Tucson AZ 85707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mandabach, Jonathan Edward can be contacted via phone (520) 228-2700.

Contact Information

Primary practice address
4175 S Alamo Ave Bldg 400 Tucson AZ 85707
Phone: (520) 228-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-19773 Hawaii

Profile Details

NPI number 1912386392
LBN Legal business name Mandabach, Jonathan Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2015
Last updated Jan 3rd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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