Individual
DR. PAUL JOSEPH SCHONBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1585 3RD ST, EMERGENCY DEPARTMENT, FORT POLK, LA 71459-5102
(337) 531-3368
Mailing address
224 GEORGE DRIVE, DERIDDER, LA 70634-6053
(845) 399-0034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
195593
NY
207P00000X
Emergency Medicine Physician
DO.00197
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01541919
—
NY
01
—
1790903292
NPI
NY
01
—
195593
NYS LICENSE
NY
Enumeration date
04/23/2007
Last updated
10/15/2012
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