Organization
BOVARD BARIATRIC CENTER PA
Active
Other names
Triangle Weight Loss Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BOVARD MD (OWNER)
(919) 340-2263
Entity
Organization
Contact information
Practice address
11200 GOVERNOR MANLY WAY, SUITE 200, RALEIGH, NC 27614-8599
(919) 340-2263
(919) 554-3771
Mailing address
11200 GOVERNOR MANLY WAY, SUITE 200, RALEIGH, NC 27614-8599
(919) 340-2263
(919) 554-3771
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2008-00006
NC
Other
Enumeration date
01/28/2008
Last updated
10/09/2012
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