| Doctor Name: | BERNARD ALBERT MANGONE |
| NPI Number: | 1245670363 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.V.M. |
| License Number: | 3371 |
| Business Practice Address: | 7771 N 43rd Ave Phoenix, AZ - 850515712 |
| Business Phone Number: | 6028411200 |
| Business Fax Number: | |
| Mailing Address: | 16021 N 7th Dr, PHOENIX |
| State: | AZ |
| Postal Code: | 850234437 |
| Phone Number: | 6026955477 |
| Fax Number: | |
| NPI Enumeration Date: | 07/03/2013 |
| NPI Last Update Date: | 07/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174M00000X |
| License Number: | 3371 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Veterinarian |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |