Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | E-1843 | AR |
NPI | 1063431328 |
---|---|
Provider Name | Dr. Paul K Howell JR. |
First Address | Fort Smith, AR 72913-3528 |
Second Address | Fort Smith, AR 72903-4067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 13/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
135145001 | (05) | AR |
460002055 | RR MEDICARE (01) | |
G80514 | (02) |