Paul T Stallman in Pismo Beach - Ophthalmic Plastic And Reconstructive Surgery
Paul T Stallman - NPI 1336120005
Paul T Stallman is a Ophthalmic Plastic And Reconstructive Surgery in Pismo Beach, California. Paul T Stallman practices all healthcare services and medical treatments related to Ophthalmic Plastic And Reconstructive Surgery. The NPI Number for Paul T Stallman is 1336120005. The last update date is 2017-10-18.
Paul T Stallman's current location address is 2 James Way, Pismo Beach, California. You can contact this provider via phone number 8054813733 and fax number 8054897376. The mailing address for Paul T Stallman is 2 James Way, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul T Stallman |
|---|---|
| Address | 2 James Way, Pismo Beach, California |
| Phone Number | 8054813733 |
| Fax Number | 8054897376 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1336120005 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2017-10-18 |
Provider Mailing Address Detail
| Address | 2 James Way |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934494973 |
| Phone Number | 8054813733 |
| Fax Number | 8054897376 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmic Plastic And Reconstructive Surgery |
|---|---|
| Taxonomy | 207Wx0200X |
| Licence No | G81743 |
|
Definition: A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and la |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G817430 | CA | BLUE SHIELD OF CALIFORNIA | |
| G81743 | CA | BLUE CROSS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Paul T Stallman?
The Paul T Stallman has been issued the NPI (National Provider Identifier) 1336120005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Paul T Stallman is physically located?
The Paul T Stallman is situated at the following address: 2 James Way, Pismo Beach, CA 934494973.
What is the area of specialization for Paul T Stallman, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul T Stallman is Ophthalmic Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0200X.
When did the Paul T Stallman receive its 1336120005?
The Paul T Stallman was issued its 1336120005 on 2005-11-09, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Paul T Stallman most recently updated or revised?
The details related to Paul T Stallman, including its address, specialty, and other relevant information, were last updated or revised on 2017-10-18.
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