Individual
PAUL M LITTLE
Active
Individual
PAUL M LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18440
WV
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
C53673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713996
BCBS
WV
05
—
3810002682
—
WV
01
—
P00404573
RR MEDICARE
WV
Enumeration date
10/12/2006
Last updated
10/19/2022
Update your record
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