Individual
DR. JAMES F PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., M.D.
Contact information
Practice address
3385 DEXTER CT, SUITE 115, DAVENPORT, IA 52807-3461
(563) 359-4777
(563) 359-4781
Mailing address
3385 DEXTER CT, SUITE 115, DAVENPORT, IA 52807-3461
(563) 359-4777
(563) 359-4781
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
33897
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
33897
IA
208200000X
Plastic Surgery Physician
Primary
33897
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244574
—
IA
05
—
036104275
—
IL
Enumeration date
01/11/2006
Last updated
02/24/2015
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