Individual
DR. SIMON HOVANNES TELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD, FORT BRAGG, NC 28310-0001
(910) 907-6053
Mailing address
WOMACK ARMY MEDICAL CTR, 2817 REILLY ROAD, FORT BRAGG, NC 28310-0001
(910) 907-6053
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A99605
CA
2086X0206X
Surgical Oncology Physician
A99605
CA
Other
Enumeration date
10/13/2006
Last updated
04/29/2012
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