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DR. PAUL C VITT DO
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1831144674
Individual Registrant:DR. PAUL C VITT DO
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
116 N HIGHWAY 101 UNIT B DEPOE BAY, OR 97341-1947 US
Tel: 541-921-3584 Fax: 541-614-1291
Tel: 541-921-3584 Fax: 541-614-1291
Contact information for business:
PO BOX 765 DEPOE BAY, OR 97341-0765 US
Tel: 541-921-3584 Fax: 541-614-1291
Tel: 541-921-3584 Fax: 541-614-1291
Registration Information:
NPI: 1831144674
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | MO | 2004019714 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 500672642 | OR | 05 |
