Individual
MR. PAUL R COULOMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10595 N TATUM BLVD STE E144, PARADISE VALLEY, AZ 85253-1072
(480) 588-6970
(480) 588-7340
Mailing address
10595 N TATUM BLVD STE E144, PARADISE VALLEY, AZ 85253-1072
(480) 588-6970
(480) 588-7340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21251
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161050
—
AZ
Enumeration date
06/05/2006
Last updated
11/28/2018
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