Individual
ANGELA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
UNM SOM MSC08 4720 1 UNM, ALBUQUERQUE, NM 87131-3536
(505) 272-2321
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD177110
OR
207L00000X
Anesthesiology Physician
Primary
MD2009-0679
NM
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD2009-0679
NM
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD34080
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712535
—
OR
Enumeration date
02/06/2007
Last updated
11/21/2024
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