Individual
DR. MIGUEL ANGEL VILLALOBOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5102
Mailing address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1598071987
PA
208600000X
Surgery Physician
25MA09873900
NJ
208600000X
Surgery Physician
MT198237
PA
2086S0129X
Vascular Surgery Physician
Primary
25107
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25107
—
MS
Enumeration date
08/24/2010
Last updated
07/21/2022
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