Provider Demographics
NPI:1063419539
Name:PAUL, STUART R (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:R
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:622 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4315
Mailing Address - Country:US
Mailing Address - Phone:831-771-3900
Mailing Address - Fax:831-771-3966
Practice Address - Street 1:622 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4315
Practice Address - Country:US
Practice Address - Phone:831-771-3900
Practice Address - Fax:831-771-3966
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG41863207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ13274ZMedicare ID - Type Unspecified
CAG41863Medicare UPIN