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Physicians Surgery Trauma Surgery

Provider NPI: 1346335585

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 919-966-8596  Fax: 919-843-5515

Business Mailing Address:
Tel: 919-966-8596  Fax: 919-843-5515

NPI Information:
NPI: 1346335585
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Trauma Surgery

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2086S0127X





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