Eddie L. Paulk D.O.

NPI 1003813601 - General Practice - 208D00000X

NPI Details
NPI 1003813601
Gender Male
Enumeration Date 06/29/2005
Last Updated 01/11/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
960 E. WALNUT LAWN
SUITE 201
SPRINGFIELD MO, 65807, US
Phone (417) 269-4450
Fax (417) 269-8333
Business Location
960 E. WALNUT LAWN
SUITE 201
SPRINGFIELD MO, 65807, US
Phone (417) 269-4450
Fax (417) 269-8333
Toxanomy
Taxonomy Code 208D00000X
License State Missouri
License Number R9H10
Remove 1003813601 NPI Number
 

According to our database, Dr. Eddie L. Paulk D.O. NPI is 1003813601, taxonomy code is 208D00000X and license number is R9H10, license state is located at Missouri. Eddie L. Paulk D.O. physically located at 960 E. Walnut Lawn, Springfield MO, 65807. NPI Number Eddie L. Paulk D.O. has the Individual type.

Sponsored links

1003813601 NPI number is provided on an as is basis without warranty of any kind. 1003813601 is maintained by the National Plan & Provider Enumeration System. The contents of Eddie L. Paulk D.O. are for informational purposes only.