MEDICARE: DR. FRANKLIN PAUDLER

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	174400000X	Specialist		WA

General Provider Information

NPI Number	:	1164824041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN PAUDLER

Provider Business Mailing Address
First Line	:	8509 ISLAND VIEW CT NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-9741
Country	:	US
Telephone Number	:	360-352-3855
Fax Number	:	360-753-5367

Provider Business Practice Location Address
First Line	:	8509 ISLAND VIEW CT NE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98506-9741
Country	:	US
Telephone Number	:	360-352-3855
Fax Number	:	360-753-5367

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

Provider Enumeration Date	:	09/22/2014
Last Update Date	:	09/22/2014

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