Individual
ANGELIQUE PFLUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
US HWY 491 NORTH, SHIPROCK, NM 87420
(505) 368-6401
(505) 368-6431
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6401
(505) 368-6431
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
30189
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03959350
—
NM
01
—
104798
BCBS
KS
01
—
12393859
MUTLIPLAN
KS
05
—
14189216
—
CO
01
—
14704
PHS
KS
05
—
200258240C
—
KS
01
—
201585
HPK
KS
01
—
239496
COVENTRY
KS
05
—
349617
—
AZ
Enumeration date
06/18/2006
Last updated
10/22/2008
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