Individual
MR. RICHARD O SALMONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1243
SC
363AS0400X
Surgical Physician Assistant
Primary
0010-03759
NC
363AS0400X
Surgical Physician Assistant
1243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0686PA
—
SC
01
—
P00638328
RAILROAD MEDICARE ID
SC
01
—
P00918199
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/22/2008
Last updated
01/11/2013
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