Individual
MR. FREDERICK JOSEPH PAULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
6129 W 84TH PL, ARVADA, CO 80003-1339
(303) 927-9784
Mailing address
6129 W 84TH PL, ARVADA, CO 80003-1339
(303) 927-9784
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA0001985
CO
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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