MEDICARE: DR. PAUL L PRESLAR D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	3301	OK

General Provider Information

NPI Number	:	1437141793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL L PRESLAR D.O.

Provider Business Mailing Address
First Line	:	3400 S DOUGLAS BLVD STE 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73150-1017
Country	:	US
Telephone Number	:	405-272-2850
Fax Number	:	405-272-2898

Provider Business Practice Location Address
First Line	:	3400 S DOUGLAS BLVD STE 200
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73150
Country	:	US
Telephone Number	:	405-272-2850
Fax Number	:	405-272-2898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	01/01/2021

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