Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK WAYNNE PAULETICH, RRT
Active Sole ProprietorMARK WAYNNE PAULETICH, RRT is a 2279C0205X healthcare provider located in FORT DEFIANCE, Arizona. NPI 1659957058 is currently active in the NPPES registry. Verify at CMS.
2279C0205X · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1659957058
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 24, 2021 (5.3508689932857 yrs)
- Last Updated
- Mar 24, 2021
- License
-
3645 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
N7, N12 & FORT DEFIANCEFORT DEFIANCE, AZ, 86504Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298000
- Primary Specialty
-
2279C0205X
2279C0205X
Other 2279C0205X Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. TRISHA ANN WILLIAMS | RRT | 1902234461 |
| KEVIN BOUDINOT | — | 1003549304 |
| JERMAL JACKSON | RRT | 1760115992 |
| ZIA HAIDER | — | 1821701244 |
| JAMES CLIPPINGER II | RRT | 1538848486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.