Individual
DR. DUSTIN MIGUEL BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
517 MOYE BLVD FL 1, ECU PHYSICIANS SURGERY, MOYE MEDICAL CENTER #2, GREENVILLE, NC 27834-2849
(252) 744-2393
(252) 744-0018
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2012-00109
NC
208600000X
Surgery Physician
MT187077
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1708Y
BCBSNC
NC
05
—
5920355
—
NC
Enumeration date
01/03/2007
Last updated
12/06/2012
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