Individual
DONALD R PAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00027154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598798951
—
WA
01
—
53194
L&I
WA
01
—
P01292759
RR MEDICARE
—
Enumeration date
07/09/2006
Last updated
01/18/2016
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