Provider Demographics
NPI:1134249766
Name:TEGET, PAUL CORD (DO)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:CORD
Last Name:TEGET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:2500 CANTERBURY DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-2247
Mailing Address - Country:US
Mailing Address - Phone:785-623-5945
Mailing Address - Fax:785-623-5949
Practice Address - Street 1:2500 CANTERBURY DR
Practice Address - Street 2:SUITE 202
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-2247
Practice Address - Country:US
Practice Address - Phone:785-623-5945
Practice Address - Fax:785-623-5949
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2009006156208600000X
KS0535787208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery