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Student Organized Health Care Education/Training Program

Provider NPI: 1568687341

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
2100 ERWIN RD  DURHAM, NC 27710-0001 US
Tel: 919-684-8111  Fax: --

Business Mailing Address:
4101 N ROXBORO ST  DURHAM, NC 27704-2121 US
Tel: 919-684-8111  Fax: --

NPI Information:
NPI: 1568687341
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Organized Health Care Education/Training Program
Emergency Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207P00000X





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