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NPI Code Detail

MEDICARE: DR. WESLEY A ANGEL MD

MEDICARE:  DR. WESLEY A ANGEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician22155MS
22085R0202XDiagnostic Radiology Physician48505TN
32085R0204XVascular & Interventional Radiology PhysicianMD0000048505TN

General Provider Information

NPI Number : 1083848329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WESLEY A ANGEL MD
Provider Business Mailing Address
First Line : 6401 POPLAR AVE STE 220
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-4884
Country : US
Telephone Number : 901-237-7698
Fax Number : 901-682-9747
Provider Business Practice Location Address
First Line : 6401 POPLAR AVE STE 505
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-4808
Country : US
Telephone Number : 901-685-2696
Fax Number : 901-682-9747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 11/17/2023

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Directions to “ DR. WESLEY A ANGEL MD” Practice Location

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