Individual
ANTHONY D'ANGELO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3906 LILLIE AVE, SUITE 7 8, DAVENPORT, IA 52806-4400
(563) 386-9124
(563) 445-0486
Mailing address
3906 LILLIE AVE, SUITE 7 8, DAVENPORT, IA 52806-4400
(563) 386-9124
(563) 445-0486
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01952
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197749
—
IA
01
—
41644
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/04/2006
Last updated
07/21/2022
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