Individual
PAUL R GOLDHAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-1294
(618) 546-2655
Mailing address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 546-1294
(618) 546-2655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21870
AL
207X00000X
Orthopaedic Surgery Physician
21870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529803930
—
AL
Enumeration date
07/27/2006
Last updated
10/14/2020
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