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Paul Canup

NPI 1215162243 · on the registry since 2009

Practice

Address
3755 E Broadway Rd
#103
Mesa, AZ 85206
Phone
(360) 303-3163

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona