Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Health Center of Cary
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PAUL DION (CHIEF FINANCIAL OFFICER)
(919) 613-7762
Entity
Organization
Contact information
Practice address
3700 NW CARY PKWY, SUITE 100, CARY, NC 27513-8446
(919) 684-8111
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017XM
BCBS GRP
NC
01
—
1029437093
TRICARE GRP
—
Enumeration date
07/09/2006
Last updated
05/13/2022
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