Provider Demographics
NPI:1972506673
Name:HOWARD, PAUL F (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:F
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:53182 BONVALE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1392
Mailing Address - Country:US
Mailing Address - Phone:574-277-2779
Mailing Address - Fax:574-277-2334
Practice Address - Street 1:12647 OLIVE BLVD
Practice Address - Street 2:STE 600
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6345
Practice Address - Country:US
Practice Address - Phone:800-325-3982
Practice Address - Fax:877-685-9866
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01023434A207RC0000X
AZ8442207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
INE05822Medicare UPIN
IN184220KMedicare ID - Type Unspecified