Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 11298 | OK |
NPI | 1528021912 |
---|---|
Provider Name | Paul David Hunter |
First Address | Oklahoma City, OK 73102-1070 |
Second Address | Oklahoma City, OK 73102-1070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 23/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040010969 | RAILROAD MEDICARE (01) | |
100082280A | (05) | OK |
157106001 | (05) | AR |
731461178002 | PRUDENTIAL HEALTHCARE (01) | |
731461178005 | TRICARE (01) | |
E15984 | (02) |