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Individual

PAUL G GILARDONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1416 GEORGE DIETER DR, EL PASO, TX 79936-7601
(915) 598-4240
Mailing address
7576A LE CONTE DR, EL PASO, TX 79912-7155
(707) 481-4450

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M5185
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
TEMP
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61707821
NM
01
8AC059
BCBS
TX
01
P00419591
RAILROAD
TX
Enumeration date
12/29/2006
Last updated
11/20/2007
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