MEDICARE: PAUL HOYAL D.C.

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	111N00000X	Chiropractor	2015040833	MO

General Provider Information

NPI Number	:	1609232776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL HOYAL D.C.

Provider Business Mailing Address
First Line	:	9707 NW 73RD ST
Second Line	:
City	:	WEATHERBY LAKE
State	:	MO
Zip	:	64152-1862
Country	:	US
Telephone Number	:	801-941-1432
Fax Number	:

Provider Business Practice Location Address
First Line	:	9707 NW 73RD ST
Second Line	:
City	:	WEATHERBY LAKE
State	:	MO
Zip	:	64152-1862
Country	:	US
Telephone Number	:	801-941-1432
Fax Number	:

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

Provider Enumeration Date	:	01/05/2016
Last Update Date	:	01/05/2016

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