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Organization

PAUL D ANGELCHIK MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON WHITE (SUPERVISOR)
(602) 443-2325
Entity
Organization

Contact information

Practice address
18275 N 59TH AVE, SUIT 170 BLDG L, GLENDALE, AZ 85308-1260
(602) 237-5888
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
22382
AZ

Other

Enumeration date
04/01/2009
Last updated
07/01/2010
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