Organization
TIMOTHY W. ANGELY, D.C., INC.
Active
Other names
Advanced Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY W ANGELY D.C. (CEO)
(318) 797-1505
Entity
Organization
Contact information
Practice address
1953 E 70TH ST, SUITE 1, SHREVEPORT, LA 71105-5300
(318) 797-1505
Mailing address
1953 E 70TH ST, SUITE 1, SHREVEPORT, LA 71105-5300
(318) 797-1505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1093
LA
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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