Philip C Mantor
Surgeon Pediatric Surgery Surgical Critical Care
940 Ne 13th St Jimmy Everest Tower Ste. 2000
Oklahoma City
, Oklahoma 73104-5008
Philip C Mantor
Surgeon Pediatric Surgery Surgical Critical Care
940 Ne 13th St Jimmy Everest Tower Ste. 2000
Oklahoma City
, Oklahoma 73104-5008
(405) 271-1515
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Philip C Mantor
- 1122 Ne 13th St Ori236
- Oklahoma City, OK
- Zip : 73117-1039
- Phone : (405) 271-1515
Second Address
- Philip C Mantor
- 940 Ne 13th St Jimmy Everest Tower Ste. 2000
- Oklahoma City, OK
- Zip : 73104-5008
- Phone : (405) 271-2006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 16328 | OK |
| N | 208600000X | Surgeon | 16328 | OK |
| N | 2086S0102X | Surgical Critical Care | 16328 | OK |
| Y | 2086S0120X | Pediatric Surgery | 16328 | OK |
National Provider Identifier
| NPI | 1184692360 |
|---|---|
| Provider Name | Philip C Mantor |
| First Address | Oklahoma City, OK 73117-1039 |
| Second Address | Oklahoma City, OK 73104-5008 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 05/09/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.