Individual
DR. RICHARD L. BOORTZ-MARX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2006-01920
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2006-01920
NC
Other
Enumeration date
06/09/2005
Last updated
05/10/2013
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