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NPI Code Detail

MEDICARE: AARON PAUL MD

MEDICARE: AARON PAUL MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207L00000XAnesthesiology Physician1093379539OK

General Provider Information

NPI Number : 1093379539
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON PAUL MD
Provider Business Mailing Address
First Line : 1802 E 19TH ST
Second Line : KRAVIS BUILDING
City : TULSA
State : OK
Zip : 74104-5403
Country : US
Telephone Number : 918-634-7500
Fax Number :
Provider Business Practice Location Address
First Line : 750 NE 13TH ST STE 200
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5024
Country : US
Telephone Number : 405-271-4351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2019
Last Update Date : 05/26/2020

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