Provider Demographics
NPI:1437141793
Name:PRESLAR, PAUL L (DO)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:PRESLAR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3400 S DOUGLAS BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73150-1017
Mailing Address - Country:US
Mailing Address - Phone:405-272-2850
Mailing Address - Fax:405-272-2898
Practice Address - Street 1:3400 S DOUGLAS BLVD STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73150
Practice Address - Country:US
Practice Address - Phone:405-272-2850
Practice Address - Fax:405-272-2898
Is Sole Proprietor?:No
Enumeration Date:2005-08-22
Last Update Date:2021-01-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK3301207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKG52687Medicare UPIN