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Individual

DR. PAUL ABIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1585 S RANGE AVE, DENHAM SPRINGS, LA 70726-5201
(225) 791-0002
(225) 791-0228
Mailing address
DEPT 960139, OKLAHOMA CITY, OK 73196-0001
(877) 485-4474
(405) 844-1794

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16898
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1355658
LA
Enumeration date
08/02/2005
Last updated
08/31/2007
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