Individual
PAUL THOMAS SUNDERHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1587 N BOLTON AVE, SUITE 1100, ALEXANDRIA, LA 71303-4205
(318) 445-9210
(318) 445-1509
Mailing address
1587 N BOLTON AVE, SUITE 1100, ALEXANDRIA, LA 71303-4205
(318) 445-9210
(318) 445-1509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPMPD205R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532924
—
LA
01
—
480025072
RAILROAD MEDICARE-PALMETT
LA
Enumeration date
03/02/2006
Last updated
07/17/2014
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