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DR. PAUL D AMMATELLI M.D.
>> Internal Medicine >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1558357764
Individual Registrant:DR. PAUL D AMMATELLI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1000 RUSH DR SALIDA, CO 81201-9627 US
Tel: 719-530-2048 Fax: 719-530-2055
Tel: 719-530-2048 Fax: 719-530-2055
Contact information for business:
PO BOX 3649 SPOKANE, WA 99220-3649 US
Tel: 509-342-3758 Fax: 509-342-3761
Tel: 509-342-3758 Fax: 509-342-3761
Registration Information:
NPI: 1558357764
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | CO | 33595 |
| N | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | ID | M-11539 |
| N | 208M00000X | Allopathic & Osteopathic Physicians Hospitalist | CO | 33595 |
| Y | 207R00000X | Allopathic & Osteopathic Physicians Internal Medicine | WA | MD00031052 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
