Individual
DR. J. OCTAVIO SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6412 CEDAR CROFT DR, CHARLOTTE, NC 28270-0300
(704) 733-9913
Mailing address
6412 CEDAR CROFT DR, CHARLOTTE, NC 28270-0300
(704) 733-9913
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD063774L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FOR CMCR 5905907
—
NC
05
—
FOR KMH 5905907
—
NC
Enumeration date
01/08/2007
Last updated
06/02/2009
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