Individual
PAUL A PRADEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 TOWSON AVE, FORT SMITH, AR 72901
(479) 441-4000
Mailing address
PO BOX 2420, FORT SMITH, AR 72902-2420
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2414
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085510A
—
OK
05
—
105769001
—
AR
Enumeration date
10/11/2005
Last updated
12/23/2008
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