| Carl Joseph Depaula, MD | |
|
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
| (918) 458-3360 | |
| (918) 458-3511 |
| Full Name | Carl Joseph Depaula |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629059803 | NPI | - | NPPES |
| 150664001 | Medicaid | AR | |
| 200012890A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 45362-020 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Joseph Depaula, MD 111 Tommye Ln, Tahlequah, OK 74464-4173 Ph: (918) 458-3360 | Carl Joseph Depaula, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3360 |
Paul G Bizzle, DO Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 327 Hickory Dr, Tahlequah, OK 74464 Phone: 918-453-0023 Fax: 918-453-0023 | |
Christopher S Deloache, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1373 E. Boone St., Suite 3401, Tahlequah, OK 74464 Phone: 918-456-6848 Fax: 918-456-1150 |