Organization
EGLIN AIR FORCE BASE RESIDENCY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER PAULSON M.D. (PROGRAM DIRECTOR)
(850) 883-8192
Entity
Organization
Contact information
Practice address
11850 DR MARTIN LUTHER KING JR ST N, APT 22-312, ST PETERSBURG, FL 33716-1619
(206) 883-5357
Mailing address
11850 DR MARTIN LUTHER KING JR ST N, APT 22-312, ST PETERSBURG, FL 33716-1619
(206) 883-5357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
FL
261Q00000X
Clinic/Center
—
FL
Other
Enumeration date
05/10/2013
Last updated
05/10/2013
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