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Organization
EGLIN AIR FORCE BASE RESIDENCY PROGRAM
Active
Organization
EGLIN AIR FORCE BASE RESIDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PAULSON M.D. (PROGRAM DIRECTOR)
(850) 883-8192
Entity
Organization
Contact information
Practice address
11850 DR MARTIN LUTHER KING JR ST N, APT 22-312, ST PETERSBURG, FL 33716-1619
(206) 883-5357
Mailing address
11850 DR MARTIN LUTHER KING JR ST N, APT 22-312, ST PETERSBURG, FL 33716-1619
(206) 883-5357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
261Q00000X
Clinic/Center
—
FL
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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