Paul J Wolfrom DO

NPI 1083687354 - Anesthesiology - 207L00000X

NPI Details
NPI 1083687354
Gender Male
Enumeration Date 02/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2450 W CHARLESTON
LAS VEGAS NV, 89102, US
Phone (702) 877-8616
Fax
Business Location
PO BOX 15645
LAS VEGAS NV, 89114-5645, US
Phone (702) 242-7786
Fax (702) 240-8790
Toxanomy
Taxonomy Code 207L00000X
License State Nevada
License Number 1096
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According to our database, Paul J Wolfrom DO NPI is 1083687354, taxonomy code is 207L00000X and license number is 1096, license state is located at Nevada. Paul J Wolfrom DO physically located at 2450 W Charleston, Las Vegas NV, 89102. NPI Number Paul J Wolfrom DO has the Individual type.

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1083687354 NPI number is provided on an as is basis without warranty of any kind. 1083687354 is maintained by the National Plan & Provider Enumeration System. The contents of Paul J Wolfrom DO are for informational purposes only.