Individual
DR. KEITH DANGLEIS
Active
Individual
DR. KEITH DANGLEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-36229
KS
2085R0202X
Diagnostic Radiology Physician
25007
NE
2085R0202X
Diagnostic Radiology Physician
Primary
38513
CO
2085R0202X
Diagnostic Radiology Physician
MD17542
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062338
—
OH
05
—
02300172
—
NY
05
—
10025709000
—
NE
05
—
104686060
—
MI
05
—
117325100
—
WY
05
—
1528044781
—
CA
05
—
1528044781
—
IA
05
—
1528044781
—
IL
05
—
1528044781
—
ME
05
—
1528044781
—
MI
05
—
1528044781
—
MO
05
—
1528044781
—
TX
05
—
1528044781
—
UT
05
—
1528044781/7726670
—
SD
05
—
175662
—
AZ
05
—
200236530A
—
OK
05
—
200418390A
—
KS
05
—
36952885
—
CO
05
—
68229828
—
NM
05
—
84-059792913
—
NE
05
—
99111975
—
WI
05
—
MD366CO
—
AK
Enumeration date
12/20/2005
Last updated
12/09/2022
Update your record
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