Individual
DR. MANUEL M ANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 COLLEGE HL, SUITE 1, WILLIAMSON, WV 25661-3300
(304) 235-5389
(304) 235-2010
Mailing address
701 COLLEGE HL, SUITE 1, WILLIAMSON, WV 25661-3300
(304) 235-5389
(304) 235-2010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14440
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051246000
—
WV
05
—
64693971
—
KY
Enumeration date
10/31/2006
Last updated
07/08/2007
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