NPI | 1043192339 |
---|---|
Former Legal Business Name | STEPHEN PAULUS, DO |
Entity Type | Organization |
Authorized Contact | STEPHEN PAULUS Physician 802-489-5470 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-07-25 |