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Individual
DR. PAUL JOSEPH EASTMAN
Active
Individual
DR. PAUL JOSEPH EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29940
IA
207V00000X
Obstetrics & Gynecology Physician
3874
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295732139
—
IA
05
—
1295732139
—
NE
05
—
1295732139
—
SD
01
—
IB2715004
MEDICARE PTAN
—
01
—
P01203005
MEDICARE PTAN RAILROAD
—
Enumeration date
07/07/2005
Last updated
10/18/2022
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