Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 15320 | CO |
NPI | 1659473874 |
---|---|
Provider Name | Dr. Paul Harold Dragul |
First Address | Denver, CO 80210-5073 |
Second Address | Denver, CO 80210-5073 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2006 |
Last Update Date | 27/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01153204 | (05) | CO |
15320 | STATE (01) | CO |
AD0838358 | DEA (01) | CO |
D22838 | (02) | CO |