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Individual

JEFFREY O ANGLEN

Active
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Individual

JEFFREY O ANGLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01059920A
IN
207X00000X
Orthopaedic Surgery Physician
036155689
IL
207X00000X
Orthopaedic Surgery Physician
39104
SC
207X00000X
Orthopaedic Surgery Physician
58653
AZ
207XX0801X
Orthopaedic Trauma Physician
Primary
39104
SC
207XX0801X
Orthopaedic Trauma Physician
75287
GA
207XX0801X
Orthopaedic Trauma Physician
ME122977
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01059920A
LICENSE
IN
01
01059920B
CSR
IN
05
200508280
IN
01
P01570473
RAILROAD MEDICARE
FL
Enumeration date
05/16/2006
Last updated
12/01/2025
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