Individual
MRS. ANGELA LEIGH ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 S. WOODS MILL RD, SUITE 510 SOUTH, CHESTERFIELD, MO 63017-3451
(314) 434-6130
(314) 434-1277
Mailing address
224 S WOODS MILL RD, SUITE 510 SOUTH, CHESTERFIELD, MO 63017-3451
(314) 434-6130
(314) 434-1277
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2010039653
MO
208800000X
Urology Physician
49650
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
995102000
—
MN
01
—
P00427411
RAILROAD MEDICARE
MN
Enumeration date
03/28/2007
Last updated
06/13/2011
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