Individual
DR. THEODORA E PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
13954 W WADDELL RD, SUITE 307, SURPRISE, AZ 85379-8750
(623) 584-0760
(623) 546-0344
Mailing address
13954 W WADDELL RD, SUITE 307, SURPRISE, AZ 85379-8750
(623) 584-0760
(623) 546-0344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4324
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
396843
—
AZ
Enumeration date
06/14/2007
Last updated
04/27/2017
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