Provider Demographics
NPI:1841200797
Name:PAULUS, JOHN B (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:B
Last Name:PAULUS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1401 AIRPORT PARKWAY
Mailing Address - Street 2:STE 100
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-1522
Mailing Address - Country:US
Mailing Address - Phone:307-369-2572
Mailing Address - Fax:307-670-7660
Practice Address - Street 1:1401 AIRPORT PARKWAY
Practice Address - Street 2:STE 100
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-1522
Practice Address - Country:US
Practice Address - Phone:307-369-2572
Practice Address - Fax:307-670-7660
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2025-05-15
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Provider Licenses
StateLicense IDTaxonomies
WY10293A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09545Medicare PIN
WYW27458Medicare PIN