Provider Demographics
NPI:1801213848
Name:MCGRAW, PAUL
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:MCGRAW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 KING ST # 271
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-4672
Mailing Address - Country:US
Mailing Address - Phone:801-706-8007
Mailing Address - Fax:801-218-5719
Practice Address - Street 1:733 KING ST # 271
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-4672
Practice Address - Country:US
Practice Address - Phone:801-706-8007
Practice Address - Fax:801-218-5719
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies