Provider Demographics
NPI:1427542497
Name:INCLAN, PAUL M (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:M
Last Name:INCLAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4301 W MARKHAM ST # 783
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8000
Mailing Address - Fax:501-526-5148
Practice Address - Street 1:10815 COLONEL GLENN RD STE 500
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72204-8041
Practice Address - Country:US
Practice Address - Phone:501-406-9201
Practice Address - Fax:501-406-9250
Is Sole Proprietor?:No
Enumeration Date:2018-06-21
Last Update Date:2024-08-09
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Provider Licenses
StateLicense IDTaxonomies
MO2018018681207X00000X
ARE-17997207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery