Provider Demographics
NPI:1912092248
Name:MYLES, ANGELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:MYLES
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:9600 BAPTIST HEALTH DR
Mailing Address - Street 2:#100
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6326
Mailing Address - Country:US
Mailing Address - Phone:501-221-1781
Mailing Address - Fax:501-225-3323
Practice Address - Street 1:9600 BAPTIST HEALTH DR
Practice Address - Street 2:#100
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6326
Practice Address - Country:US
Practice Address - Phone:501-221-1781
Practice Address - Fax:501-225-3323
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2017-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARE7754207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR195184001Medicaid
AR195184001Medicaid