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Individual

JAMES ALFRED DANGELO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1000 CARONDELET DR STE 100, KANSAS CITY, MO 64114-4673
(816) 478-4200
(816) 875-2597
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(913) 721-3387
(816) 875-2597

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05-27191
KS
207Q00000X
Family Medicine Physician
Primary
106551
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M220000002
MEDICARE PTAN
MO
Enumeration date
10/19/2005
Last updated
10/31/2025
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