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Individual

DR. PAUL L DANDREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7342
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7342

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28489
AZ
2083A0100X
Aerospace Medicine Physician
Primary
28489
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
535908
AZ
Enumeration date
07/28/2005
Last updated
01/22/2026
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