Individual
RONALD EUGENE PAULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2403 W WRANGLER BLVD STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Mailing address
2403 W WRANGLER BLVD STE A, SEMINOLE, OK 74868-1900
(405) 382-4939
(405) 382-4947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1702
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1702
PA LICENSE
OK
Enumeration date
01/02/2008
Last updated
01/02/2008
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