Provider Demographics
NPI:1235367665
Name:SPURGEON, ANGELA NICOLE (DO)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:NICOLE
Last Name:SPURGEON
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1411 E PRIMROSE ST STE C
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4377
Mailing Address - Country:US
Mailing Address - Phone:417-882-1207
Mailing Address - Fax:417-881-7268
Practice Address - Street 1:3801 S NATIONAL AVE STE 700
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-5210
Practice Address - Country:US
Practice Address - Phone:417-885-3888
Practice Address - Fax:417-520-5959
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2023-04-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2009014845207T00000X
MO2017011225207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery