Organization
REGIONAL NEUROSURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER ROBERT BRONEC MD (PRESIDENT)
(919) 479-4188
Entity
Organization
Contact information
Practice address
3901 N ROXBORO ST, SUITE 101, DURHAM, NC 27704-2181
(919) 479-4120
(919) 479-4204
Mailing address
3901 N ROXBORO ST, SUITE 101, DURHAM, NC 27704-2181
(919) 479-4120
(919) 479-4204
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02111
BCBS
NC
05
—
6902111
—
NC
Enumeration date
04/27/2006
Last updated
10/16/2007
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