Individual
DR. ANTHONY JOSEPH D'ANGELO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2315 DOUGHERTY FERRY ROAD, SUITE 103, ST. LOUIS, MO 63122
(314) 821-5002
Mailing address
2315 DOUGHERTY FERRY ROAD, SUITE 103, ST. LOUIS, MO 63122-4323
(314) 821-5002
(314) 821-5029
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
R3J23
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242700706
—
MO
Enumeration date
08/09/2005
Last updated
12/30/2009
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