Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 39061 | IA |
NPI | 1184864340 |
---|---|
Provider Name | Dr. Benjamin Stanley Paulson |
First Address | Des Moines, IA 50314-3045 |
Second Address | Des Moines, IA 50314-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2009 |
Last Update Date | 27/08/2010 |