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Individual

DR. CHAD DAVID LISTROM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2817 REILLY RD, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
(910) 907-6069
Mailing address
105 KINGSWOOD CIR, PINEHURST, NC 28374-6949
(910) 215-9910

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
NC

Other

Enumeration date
02/21/2006
Last updated
07/08/2007
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