Individual provider · Type 1 NPI
Michael John Mangubat, PA
Student in an Organized Health Care Education/Training Program · Peyton, CO
NPI number
1174440671
Active
Practice location
12515 Black Hills Dr
Peyton, CO 80831-4467
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Peyton
About NPI 1174440671
Michael John Mangubat, PA's National Provider Identifier is 1174440671, issued on Jul 4, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peyton, CO. The record was last updated on Jul 4, 2026.