Provider Demographics
NPI:1932114402
Name:MAGARELLI MD PHD, PAUL C (MD, PHD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:MAGARELLI MD PHD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:330 SEVEN SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5098
Mailing Address - Country:US
Mailing Address - Phone:615-920-7910
Mailing Address - Fax:615-920-8775
Practice Address - Street 1:2100 S TRIVIZ DR
Practice Address - Street 2:SUITE F-G
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-0605
Practice Address - Country:US
Practice Address - Phone:575-556-6228
Practice Address - Fax:575-532-2030
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO36345207VE0102X
NMMD2004-0037207VE0102X
CAG73609207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology