Individual
PAUL G STORY
Active
Individual
PAUL G STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
013093
GA
207W00000X
Ophthalmology Physician
Primary
21286
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01212869
—
CO
01
—
34698
BLUECROSS BLUESHIELD
—
01
—
840851676001
ROCKY MOUNTAIN HEALTH PLA
—
Enumeration date
01/18/2007
Last updated
10/30/2007
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