Individual
PAUL KOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 S HOSPITAL DR, FULTON, MO 65251-2510
(573) 592-6550
Mailing address
861 SW 78TH AVE, SUITE # 100B, PLANTATION, FL 33324-3273
(954) 693-0000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003009747
MO
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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