Individual
MRS. ANGELA ANNE FANGMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101-2 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4343
(479) 549-4228
(479) 549-3711
Mailing address
451 S HOLLY ST, SILOAM SPRINGS, AR 72761-3018
(479) 549-4228
(479) 549-3711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E-2035
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100252240A
—
OK
05
—
136331001
—
AR
01
—
5L060
BCBS ARKANSAS
AR
Enumeration date
11/21/2005
Last updated
02/17/2015
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