Individual
DR. JERRY ARNOLD PAULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7392 E COZY CAMP DR, PRESCOTT VALLEY, AZ 86314-1957
(928) 772-3719
Mailing address
7392 E COZY CAMP DR, PRESCOTT VALLEY, AZ 86314-1957
(928) 772-3719
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6030
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0938390
BLUE CROSS
AZ
Enumeration date
05/12/2006
Last updated
07/08/2007
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