Individual
PAUL S WAHLHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 W. THOMAS ROAD, ST. JOSEPH'S HOSPITAL, PHOENIX, AZ 85013
(602) 406-3000
(602) 406-7165
Mailing address
1241 W MINERAL AVE, SUITE 100, LITTLETON, CO 80120-5685
(303) 759-0854
(303) 759-0864
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28833
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
616617
—
AZ
01
—
P00033434
RR MEDICARE
AZ
Enumeration date
08/03/2006
Last updated
04/27/2009
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