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Individual

DR. PAUL ANTHONY SACONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
122 OKATIE CENTER BLVD N, OKATIE, SC 29909-3750
(843) 273-7980
Mailing address
18201 VON KARMAN AVE STE 600, IRVINE, CA 92612-1176
(800) 544-3215

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
27345
WV
2085R0001X
Radiation Oncology Physician
36269
SC
2085R0001X
Radiation Oncology Physician
Primary
DR.00968898
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362690
SC
Enumeration date
01/27/2008
Last updated
07/01/2022
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