Organization
PAUL E GAULIN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER FAWN POMERLEAU (BILLING MANAGER)
(702) 733-2088
Entity
Organization
Contact information
Practice address
3121 S MARYLAND PKWY, STE 220, LAS VEGAS, NV 89109-2307
(702) 733-2088
(702) 733-1312
Mailing address
3121 S MARYLAND PKWY, STE 220, LAS VEGAS, NV 89109-2307
(702) 733-2088
(702) 733-1312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10431
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500911
—
NV
Enumeration date
12/13/2007
Last updated
07/07/2008
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