Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Med Peds at Roxboro St
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
4020 N ROXBORO ST, DURHAM, NC 27704-2120
(919) 620-5333
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
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/08/2010
Last updated
05/13/2022
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