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Individual

PAUL JEFFREY RESIGNATO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1722 N ZARAGOZA RD, STE C, EL PASO, TX 79936-8033
(915) 855-3338
(915) 564-5579
Mailing address
PO BOX 3192, EL PASO, TX 79923-3192
(915) 855-3338
(915) 564-5579

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
0871
TX
213ES0131X
Foot Surgery Podiatrist
Primary
871
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110391302
TX
Enumeration date
12/01/2005
Last updated
10/04/2010
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