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Individual

DR. ALLAN LEWIS PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2559 MEDICAL DR, SUITE E, ALAMOGORDO, NM 88310-8703
(505) 437-5595
(505) 437-1330
Mailing address
2559 MEDICAL DRIVE, SUITE E, ALAMOGORDO, NM 88310
(505) 437-5595
(505) 437-1330

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88-57
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04994
NM
01
2224
LOVELACE SALUD ID NUMBER
NM
01
23200
PRESBYTERIAN SALUD ID NUM
NM
01
A002
TRICARE ID NUMBER
NM
01
NM002112
BLUE CROSS/BLUE SHIELD ID
NM
Enumeration date
01/17/2006
Last updated
07/09/2007
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