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Individual

PAUL LESTER UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8414 E SHEA BLVD, #103, SCOTTSDALE, AZ 85260-6665
(480) 767-3877
(480) 767-3878
Mailing address
8414 E SHEA BLVD, #103, SCOTTSDALE, AZ 85260-6665
(480) 767-3877
(480) 767-3878

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
22416
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168965
AZ
Enumeration date
08/10/2005
Last updated
12/04/2007
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