Paul Raymond Radway M.D.

NPI 1023056173 - Surgery - 208600000X

NPI Details
NPI 1023056173
Gender Male
Enumeration Date 06/02/2006
Last Updated 02/27/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
3506 SAN JOSE CT
PUEBLO CO, 81005-3916, US
Phone (719) 252-6467
Fax
Business Location
3506 SAN JOSE CT
PUEBLO CO, 81005-3916, US
Phone (719) 252-6467
Fax
Toxanomy
Taxonomy Code 208600000X
License State Colorado
License Number 20508
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According to our database, Dr. Paul Raymond Radway M.D. NPI is 1023056173, taxonomy code is 208600000X and license number is 20508, license state is located at Colorado. Paul Raymond Radway M.D. physically located at 3506 San Jose Ct, Pueblo CO, 81005-3916. NPI Number Paul Raymond Radway M.D. has the Individual type.

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1023056173 NPI number is provided on an as is basis without warranty of any kind. 1023056173 is maintained by the National Plan & Provider Enumeration System. The contents of Paul Raymond Radway M.D. are for informational purposes only.