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Paul Supple, MD
Student in an Organized Health Care Education/Training Program in Orange, California
NPI 1326736851

Paul Supple is a Student in an Organized Health Care Education/Training Program based in Anaheim, CA. Paul Supple practices in Orange, CA and has the professional credentials of MD. The NPI Number for Paul Supple is 1326736851 and holds a License No. (California).

The current practice location address for Paul Supple is 101 The City Dr S Bldg 1, Orange, CA and can be reached out via phone at 714-456-7890.

Location: 101 The City Dr S Bldg 1, Orange, CA, 92805-6610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326736851
Provider Name
Paul Supple
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 The City Dr S Bldg 1, Orange, CA, 92805-6610
Phone Number
714-456-7890
Fax Number
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 The City Dr S Bldg 1
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-7890
Fax Number
person
Provider Business Mailing Address Details
Address
101 The City Dr S Bldg 1
City
Orange
State
California
Zip
92868-3201
Phone Number
714-456-7890
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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