Organization
ALLAN L. PAUL M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN LEWIS PAUL M.D. (PRESIDENT)
(505) 437-5595
Entity
Organization
Contact information
Practice address
2559 MEDICAL DR, STE E, ALAMOGORDO, NM 88310-8703
(505) 437-5595
(505) 437-1330
Mailing address
2559 MEDICAL DR, STE E, ALAMOGORDO, NM 88310-8703
(505) 437-5595
(505) 437-1330
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
8857
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10003502
LOVELACE SALUD
NM
05
—
79488285
—
NM
01
—
A002
TRICARE
NM
01
—
NM012112
BC BS
NM
01
—
QMYPR0072232
MOLINA HEALTHCARE
NJ
Enumeration date
05/14/2007
Last updated
08/22/2020
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