Individual
MR. ANGELO MICHAEL CAPRICCHIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-3865
(208) 785-3504
Mailing address
511 NORTH 12 STREET EAST, SUITE F, RIVERTON, WY 82501
(307) 857-6422
(307) 857-5788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M11048
ID
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
M-11048
ID
Other
Enumeration date
11/01/2006
Last updated
02/10/2020
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