Individual
PAUL G MCINTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5205
(804) 289-4937
Mailing address
PO BOX 17978, RICHMOND, VA 23226-7978
(804) 289-4937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024132363
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430074600
RAILROAD MEDICARE
VA
05
—
8941602
—
VA
Enumeration date
09/14/2006
Last updated
02/26/2014
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