Individual
PAUL L AXTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 596-2054
(585) 596-0147
Mailing address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 596-2054
(585) 596-0147
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
213053
NY
207X00000X
Orthopaedic Surgery Physician
Primary
213053-1
NY
207X00000X
Orthopaedic Surgery Physician
C51380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C51380
—
CA
Enumeration date
08/09/2005
Last updated
06/29/2023
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