Individual
LAURA MARIE PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 N BROAD ST, SUITE B, GLOBE, AZ 85501-2757
(928) 425-8200
(928) 425-8406
Mailing address
4088 E JASPER DR, GILBERT, AZ 85296-8460
(928) 425-8200
(928) 425-8406
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6466
AZ
Other
Enumeration date
10/12/2016
Last updated
07/18/2019
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