Individual
STEPHEN PAULUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204
(501) 604-6900
(501) 604-6941
Mailing address
800 FAIR PARK BLVD, LITTLE ROCK, AR 72204-1720
(501) 978-2623
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A126037
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
E-8744
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093942252
NPI
AR
05
—
204363001
—
AR
Enumeration date
06/16/2009
Last updated
01/11/2019
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