MR. Eddie Lynn Paulk, D.O.

NPI #1003813601 in Maryville, Illinois

Provider Information

NPI Number: 1003813601
Entity Type: Individual
Name: MR. Eddie Lynn Paulk, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jun 29, 2005
Last Updated: Aug 28, 2024

Practice Location

Address: 6812 STATE ROUTE 162 STE 21
City: Maryville
State: Illinois
ZIP Code: 62062-8565
Phone: (618) 288-5566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
General Practice	208D00000X

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