Individual
ANGELA AMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
377 SYLVAN LAKE RD STE 220, EAGLE, CO 81631-0129
(970) 328-6357
(970) 328-5633
Mailing address
PO BOX 0129, EAGLE, CO 81631-0129
(970) 328-6357
(970) 328-5633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CO35669
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01356690
—
CO
01
—
1043389356
NPI
CO
01
—
CO35669
LICENSE
CO
Enumeration date
11/08/2006
Last updated
07/30/2008
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