Individual
MR. PAUL DANIEL PTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C, RSA
Contact information
Practice address
5300 CHERRY CREEK RD, COOKEVILLE, TN 38506-7007
(847) 494-1940
Mailing address
5300 CHERRY CREEK RD, COOKEVILLE, TN 38506-7007
(847) 494-1940
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/17/2013
Last updated
10/22/2021
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