Individual
DR. MARIO ERNESTO OLMEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 HILLANDALE RD, SUITE D, DURHAM, NC 27705-2664
(919) 383-4355
Mailing address
BOX 3886, DUMC, 2100 ERWIN ROAD, DURHAM, NC 27710
(919) 684-6721
(919) 668-1785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2007-01855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909827
—
NC
Enumeration date
07/20/2007
Last updated
09/19/2008
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