Individual
DR. PAUL JOSEPH EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730 PIERCE ST STE 201, SIOUX CITY, IA 51104-3764
(712) 277-3141
(712) 277-2645
Mailing address
2730 PIERCE ST, SUITE 201, SIOUX CITY, IA 51104-3796
(712) 277-3141
(712) 277-2645
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
29940
IA
207V00000X
Obstetrics & Gynecology Physician
3874
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295732139
—
IA
05
—
1295732139
—
NE
05
—
1295732139
—
SD
01
—
IB2715004
MEDICARE PTAN
—
01
—
P01203005
MEDICARE PTAN RAILROAD
—
Enumeration date
07/07/2005
Last updated
10/18/2022
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