Individual
PAUL M ANGLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3916 S PROVIDENCE RD STE 101, COLUMBIA, MO 65203-7152
(573) 882-1662
(573) 882-4096
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2013002755
MO
207Q00000X
Family Medicine Physician
2013002755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115645
—
IL
Enumeration date
07/07/2006
Last updated
09/27/2023
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