Individual
DR. JOSEPH EDWARD CANGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 N MAIN ST STE E, COLUMBIA, IL 62236-1070
(618) 281-4325
(618) 281-8393
Mailing address
1550 N MAIN ST STE E, COLUMBIA, IL 62236-1070
(618) 281-4325
(618) 281-8393
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036110913
IL
208000000X
Pediatrics Physician
2006007755
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110913
—
IL
Enumeration date
03/23/2006
Last updated
10/09/2018
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