Individual
MS. ANGELA GIAMPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-4919
(719) 557-4766
Mailing address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-4919
(719) 557-4766
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49079
CO
207Q00000X
Family Medicine Physician
MD2010-0044
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K3526
—
NM
01
—
8HN175
PROVDER MEDICARE #
NM
01
—
95551271
PROVIDER MEDICAID #
NM
01
—
HSZ196
MEDICARE ID PART B PTAN
NM
Enumeration date
04/20/2007
Last updated
11/23/2016
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