Provider Demographics
NPI:1306935010
Name:PAULL, ROBERT MILTON (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:MILTON
Last Name:PAULL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3675 W LOCUST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711
Mailing Address - Country:US
Mailing Address - Phone:559-432-5286
Mailing Address - Fax:559-278-5409
Practice Address - Street 1:5044 N BARTON AVE HC 81
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93740-8012
Practice Address - Country:US
Practice Address - Phone:559-278-6715
Practice Address - Fax:559-278-5409
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC30064207R00000X, 2083A0100X
TXE9907207R00000X, 2083A0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine