NPI 1629059803

Carl Joseph Depaula, MD

Practitioner Orthopaedic Surgery Physician Tahlequah, OK

Practice location

Address: 100 S Bliss Ave, Tahlequah, OK 74464-2512
Phone: (918) 458-3360
Fax: (918) 458-3511
Mailing address: 111 Tommye Ln, Tahlequah, OK 74464-4173

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 45362-020 (WI)

Other Orthopaedic Surgery providers in Oklahoma →

Registry record

NPI: 1629059803
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2005
Record last updated: 11 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.