# PRIVATE DIAGNOSTIC CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DUKE OTOLARYNGOLOGY OF RALEIGH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851587562
- **Authorized official:** CHRISTOPHER THOMAS FREDERICK (CFO)
- **Authorized official phone:** (919) 613-7762

## Contact information

- **Practice address:** 3480 WAKE FOREST RD, SUITE 404, RALEIGH, NC 27609-7376
- **Practice address phone:** (919) 862-5730
- **Mailing address:** PO BOX 110566, DURHAM, NC 27709-5566
- **Mailing address phone:** (919) 620-4855
- **Mailing address fax:** (919) 620-4921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 07/11/2022