Individual
PAUL B. KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E DUARTE ROAD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10043098
TX
207RH0000X
Hematology (Internal Medicine) Physician
Primary
A164997
CA
Other
Enumeration date
06/12/2012
Last updated
11/10/2020
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