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Individual

MR. WILLIAM M TRUESDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2600 NEUSE BLVD, NEW BERN, NC 28562-2846
(252) 638-1312
(252) 638-4648
Mailing address
PO BOX 1481, NEW BERN, NC 28563-1481
(252) 638-1312
(252) 638-4648

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
NC
224P00000X
Prosthetist
225000000X
Orthotic Fitter
NC
225000000X
Orthotic Fitter

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795009
NC
Enumeration date
06/21/2007
Last updated
10/23/2017
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