Individual
RANDY LAMAR ANGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8507 LIBERTY RD, RANDALLSTOWN, MD 21133-4833
(410) 496-6441
(410) 496-6448
Mailing address
8507 LIBERTY RD, RANDALLSTOWN, MD 21133-4833
(410) 496-6441
(410) 496-6448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
45229
CO
207Q00000X
Family Medicine Physician
D0069326
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47779268
—
CO
Enumeration date
05/23/2007
Last updated
03/07/2023
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