Individual
PAUL JAMES TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
1723 BROADWAY, SUITE 410, CAPE GIRARDEAU, MO 63701
(573) 339-1957
(573) 339-9709
Mailing address
PO BOX 1329, CAPE GIRARDEAU, MO 63702-1329
(573) 339-1957
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2004012270
MO
Other
Enumeration date
05/06/2006
Last updated
07/08/2007
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