Individual
DR. JAMES KEITH DEORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4709 CREEKSTONE DR STE 200, DURHAM, NC 27703-8411
(919) 660-2358
(919) 660-8568
Mailing address
4709 CREEKSTONE DR STE 200, DURHAM, NC 27703-8411
(919) 660-2358
(919) 660-8568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2007--00102
NC
207X00000X
Orthopaedic Surgery Physician
ME47550
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02098
BLUECROSS/BLUESHIELD
FL
05
—
260189700
—
FL
05
—
5906154
—
NC
01
—
700005983
RAILROAD MEDICARE
FL
Enumeration date
10/24/2005
Last updated
10/23/2012
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