Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARTIN A MANGAN, DO
DeactivatedMARTIN A MANGAN, DO is a Family Medicine healthcare provider located in RIGBY, Idaho. NPI 1972709103 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · RIGBY, ID
This NPI has been deactivated.
The record was deactivated on June 7, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1972709103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2007 (13.950684931507 yrs)
- Last Updated
- Jul 7, 2021
- Deactivated
- Jun 7, 2021
- License
-
O-0518 (ID)
Practice Information
- Address
-
98 N CAMBRIDGE DRRIGBY, ID, 834425298Browse ID providers · Browse ZIP 83442
- Phone
- 2085202809
- Fax
- 2082254249
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RIGBY, ID
| Name | Credential | NPI |
|---|---|---|
| WILLIAM D ADAMS | DO | 1467403733 |
| RICHARD T HARPER | DO | 1477599538 |
| BRYAN HAMMAR | D.O. | 1841219987 |
| LARRY T CURTIS | MD | 1295804425 |
| STEVEN JARED POTTER | MD | 1407922446 |
| COLBY DOUGLAS EDMONDS | — | 1609674738 |
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.