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Individual

DR. PAUL M MAILANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MS

Contact information

Practice address
2430 W PIERCE ST, CARLSBAD, NM 88220-3553
(575) 887-4100
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
(660) 826-4852

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
5582
NV
207L00000X
Anesthesiology Physician
Primary
MD2018-0996
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2016063
NV
Enumeration date
06/04/2006
Last updated
02/18/2019
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