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Organization

PAUL B ANDELIN MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL B ANDELIN M.D. (PRESIDENT)
(417) 678-4022
Entity
Organization

Contact information

Practice address
1937 W CARDINAL LN, AURORA, MO 65605-1977
(417) 678-4022
(417) 678-4028
Mailing address
1937 W CARDINAL LN, AURORA, MO 65605-1977
(417) 678-4022
(417) 678-4028

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
R3M76
MO
208D00000X
General Practice Physician
Primary
R3M76
MO

Other

Enumeration date
03/27/2008
Last updated
03/27/2008
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