Individual
PAUL GURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-3000
Mailing address
2300 N EDWARD ST, DECATUR, IL 62526-4163
(217) 876-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
970029473
RAILROAD MEDICARE
IL
Enumeration date
09/14/2006
Last updated
02/24/2025
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