Provider Demographics
NPI:1760404974
Name:PAULMAN, ROGER (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:
Last Name:PAULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4403 HARRISON BLVD STE 4410
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84403-3323
Mailing Address - Country:US
Mailing Address - Phone:801-387-6850
Mailing Address - Fax:801-387-6855
Practice Address - Street 1:4403 HARRISON BLVD
Practice Address - Street 2:STE 3815
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84403-3271
Practice Address - Country:US
Practice Address - Phone:801-387-2587
Practice Address - Fax:801-387-2585
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT8813691-1205207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease