Provider Demographics
NPI:1629348735
Name:DM PAULL MD PLLC
Entity Type:Organization
Organization Name:DM PAULL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PAULL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-707-7672
Mailing Address - Street 1:7301 E 2ND ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5600
Mailing Address - Country:US
Mailing Address - Phone:480-707-7672
Mailing Address - Fax:480-707-7673
Practice Address - Street 1:7301 E 2ND ST
Practice Address - Street 2:SUITE 311
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5600
Practice Address - Country:US
Practice Address - Phone:480-707-7672
Practice Address - Fax:480-707-7673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-05
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty