Individual
DR. DANIEL ILIEV ANGELOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 342-2000
Mailing address
17950 N 68TH ST APT 2074, PHOENIX, AZ 85054-4192
(480) 492-4078
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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