DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILLIAM D MANGUM II, PA-C

Active

WILLIAM D MANGUM II, PA-C is a Physician Assistant healthcare provider located in FORT DRUM, New York. NPI 1427731108 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FORT DRUM, NY

Registration Details

NPI Number
1427731108
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2023 (3.0187077733338 yrs)
Last Updated
Aug 21, 2024
License
032112 (NY)

Practice Information

Address
11050 MT BELVEDERE BLVD
FORT DRUM, NY, 136022603
Browse NY providers · Browse ZIP 13602
Phone
3157726445
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in FORT DRUM, NY

Name Credential NPI
MR. RANDALL ALAN BISCHOFF RPA-C 1760471932
HEIDI L BOERMAN PA-C, ATC 1427048412
DAVID LEWIS KEYES RPA-C 1013993625
WILLIAM J. FLYNN III PA 1104802941
DERIK HARALD SWEE PA-C 1598741498
JEFFREY M SZYMANSKI PA, MPAS, APA 1861478653
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.