Provider Demographics
NPI:1609172089
Name:ARGO, ANGUS JD (DC)
Entity Type:Individual
Prefix:DR
First Name:ANGUS
Middle Name:JD
Last Name:ARGO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 377
Mailing Address - Street 2:
Mailing Address - City:BLACK DIAMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98010-0377
Mailing Address - Country:US
Mailing Address - Phone:360-886-5492
Mailing Address - Fax:360-886-5496
Practice Address - Street 1:30800 3RD AVE STE B
Practice Address - Street 2:
Practice Address - City:BLACK DIAMOND
Practice Address - State:WA
Practice Address - Zip Code:98010-9767
Practice Address - Country:US
Practice Address - Phone:360-886-5492
Practice Address - Fax:360-886-8496
Is Sole Proprietor?:No
Enumeration Date:2011-02-02
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60205202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor