Individual
PAUL D KOELLIKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W PACIFIC AVE, TELLURIDE, CO 81435-1229
(970) 728-3848
(505) 324-2259
Mailing address
PO BOX 1229, TELLURIDE, CO 81435-1229
(970) 728-3848
(505) 564-3755
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2001-235
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53052561
—
NM
Enumeration date
02/15/2006
Last updated
02/04/2008
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