Organization
LARRY DASHOW MD PC
Active
Other names
PENDER SURGICAL SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY J DASHOW MD (PRESIDENT)
(910) 259-8001
Entity
Organization
Contact information
Practice address
308 S BENNETT ST, BURGAW, NC 28425-5048
(910) 259-8001
(910) 259-8003
Mailing address
308 S BENNETT ST, BURGAW, NC 28425-5048
(910) 259-8001
(910) 259-8003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
200300461
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13350
BCBS
NC
05
—
8913350
—
NC
Enumeration date
10/31/2007
Last updated
08/04/2010
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