Provider Demographics
NPI:1871917260
Name:PAULSON, HUGO ROBERT (MD)
Entity type:Individual
Prefix:
First Name:HUGO
Middle Name:ROBERT
Last Name:PAULSON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2285 CORPORATE CIR
Mailing Address - Street 2:STE 200
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7759
Mailing Address - Country:US
Mailing Address - Phone:702-360-2763
Mailing Address - Fax:949-783-2880
Practice Address - Street 1:2650 N. TENAYA WAY
Practice Address - Street 2:STE. 208
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-1104
Practice Address - Country:US
Practice Address - Phone:702-853-7451
Practice Address - Fax:909-557-1924
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-06
Last Update Date:2016-03-16
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Provider Licenses
StateLicense IDTaxonomies
NV630207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology