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Organization
JAMES R ANGEL MD PLLC
Active
Organization
JAMES R ANGEL MD PLLC
Active
Other names
James R Angel MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RAYMOND ANGEL MD (OWNER)
(270) 789-2471
Entity
Organization
Contact information
Practice address
1698 OLD LEBANON RD, SUITE 3B, CAMPBELLSVILLE, KY 42718-9662
(270) 789-2471
(270) 465-4669
Mailing address
1698 OLD LEBANON RD, SUITE 3B, CAMPBELLSVILLE, KY 42718-9662
(270) 789-2471
(270) 465-4669
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
20672
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000062594
BS
—
01
—
1170188
PASSPORT
—
01
—
2440585000
PASSPORT ADVANTAGE
—
05
—
64206725
—
KY
Enumeration date
11/16/2006
Last updated
04/21/2009
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