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Individual

PAUL J ABBOTT

Active
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Individual

PAUL J ABBOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
32136
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01321363
CO
01
200044869
RAILROAD MEDICARE ID
CO
01
680501385004
RMHP ID
CO
01
AB36615
BLUE CROSS BLUE SHIELD ID
CO
Enumeration date
06/24/2005
Last updated
03/25/2014
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