Individual
MATT DONALD PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T.(R)
Contact information
Practice address
3719 DAUPHIN ST, MOBILE, AL 36608-1753
(251) 344-9630
Mailing address
5909 CANSLER DR, MOBILE, AL 36609-7023
(256) 604-3773
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
588323
AL
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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