Individual
PAULO R. DE ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
320 N 13TH ST, WAKEENEY, KS 67672-2002
(785) 743-2182
(785) 743-6317
Mailing address
320 N 13TH ST, WAKEENEY, KS 67672-2002
(785) 743-2182
(785) 743-6317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-36496
KS
207Q00000X
Family Medicine Physician
28015
OK
207Q00000X
Family Medicine Physician
P4153
TX
Other
Enumeration date
04/30/2011
Last updated
07/17/2013
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