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Organization
MICHAEL ANGELO APMC
Active
Organization
MICHAEL ANGELO APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANGELO MD (DIRECTOR)
(318) 469-7997
Entity
Organization
Contact information
Practice address
2525 VIKING DR, BOSSIER CITY, LA 71111-2103
(318) 841-2525
(318) 425-8438
Mailing address
PO BOX 64568, PHOENIX, AZ 85082-4568
(318) 424-5449
(855) 230-1466
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.025219
LA
Other
Enumeration date
12/07/2017
Last updated
12/08/2017
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