NPI 1295723955 · live from the CMS NPI Registry
Michael Alon Angelo, M.D.
Family Medicine in Bossier City, LA. National Provider Identifier 1295723955, active.
NPI record
| NPI | 1295723955 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1000 Chinaberry Dr Ste 800, Bossier City, LA 71111 |
| Practice phone | 318-392-3372 |
| Mailing address | 4438 Viking Dr Ste 300, Bossier City, LA 71111 |
| Enumerated | October 7, 2005 |
| Last updated | April 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 025219 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.