Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Surgical Oncology of Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
3404 WAKE FOREST RD, SUITE 101, RALEIGH, NC 27609-7340
(919) 954-3050
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4485
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
Primary
—
—
Other
Enumeration date
09/16/2009
Last updated
05/13/2022
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