Provider Demographics
NPI:1295292621
Name:TOMLINS, ANGELA MARIE (MD, AP)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIE
Last Name:TOMLINS
Suffix:
Gender:F
Credentials:MD, AP
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:MARIE
Other - Last Name:BOLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, DO
Mailing Address - Street 1:813 S BUSINESS US HIGHWAY 65
Mailing Address - Street 2:
Mailing Address - City:BRANSON
Mailing Address - State:MO
Mailing Address - Zip Code:65616-3017
Mailing Address - Country:US
Mailing Address - Phone:417-334-6660
Mailing Address - Fax:
Practice Address - Street 1:813 S BUSINESS US HIGHWAY 65
Practice Address - Street 2:
Practice Address - City:BRANSON
Practice Address - State:MO
Practice Address - Zip Code:65616-3017
Practice Address - Country:US
Practice Address - Phone:417-334-6660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2018043506207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine