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Individual

PAUL DEAN PRZYSTUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
(970) 263-5094
Mailing address
615 RUSHMORE DR, GRAND JUNCTION, CO 81507-4016
(970) 270-7541

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
482
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01004829
CO
Enumeration date
08/10/2006
Last updated
04/18/2013
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