Individual
JASON M ANGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12635 N 42ND ST, LINDA STEIN, PHOENIX, AZ 85032-7601
(602) 494-5500
Mailing address
12635 N 42ND ST, LINDA STEIN, PHOENIX, AZ 85032-7601
(602) 494-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301084484
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4795978
—
MI
Enumeration date
05/02/2006
Last updated
07/30/2007
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