Individual
DR. PAUL FREDERIC DARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1151 NORTH STATE ST., SUITE 311, JACKSON ANESTHESIA ASSOCIATES, JACKSON, MS 39202
(210) 567-4500
(210) 567-0083
Mailing address
1 HUNTER HILL RD, VICKSBURG, MS 39183-8791
(601) 831-6202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22769
MS
Other
Enumeration date
05/24/2007
Last updated
06/17/2014
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