Provider Demographics
NPI:1215093471
Name:PAUL, STEPHEN R (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:R
Last Name:PAUL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1224 E LOWELL ST
Mailing Address - Street 2:UNIVERSITY OF ARIZONA
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85721-0095
Mailing Address - Country:US
Mailing Address - Phone:520-626-6363
Mailing Address - Fax:520-626-2416
Practice Address - Street 1:1224 E LOWELL ST
Practice Address - Street 2:UNIVERSITY OF ARIZONA
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85721-0095
Practice Address - Country:US
Practice Address - Phone:520-626-6363
Practice Address - Fax:520-626-2416
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ22191207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine