Michael Alon Angelo, M.D.
Family Medicine in Bossier City, LA. Individual provider (NPI-1).
NPI number1295723955
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1295723955
- Entity type
- Individual (NPI-1)
- Name
- Michael Alon Angelo
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 7, 2005
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 025219 | LA | Yes |
Practice location
1000 Chinaberry Dr Ste 800Bossier City, LA 71111-2455
Phone 318-392-3372 · Fax 318-392-3373
Mailing address
4438 Viking Dr Ste 300Bossier City, LA 71111-7510
Phone 318-918-0015 · Fax 318-963-0015
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All 56 Family Medicine Physician providers in Bossier City · All 1,861 providers in Bossier City
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