Organization
T CRAIG DERIAN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CRAIG DERIAN MD (PRESIDENT)
(919) 479-4160
Entity
Organization
Contact information
Practice address
4206 N ROXBORO STREET, SUITE 120, DURHAM, NC 27704-1868
(919) 479-4160
(919) 479-4116
Mailing address
4206 N ROXBORO STREET, SUITE 120, DURHAM, NC 27704-1868
(919) 479-4160
(919) 479-4116
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
31269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0127N
BCBS CORPORATE NUMBER
NC
01
—
0217N
BCBS CORPORATE NUMBER
—
Enumeration date
03/07/2007
Last updated
09/30/2009
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