Individual
MR. DAVID A CLOUD
Active
Individual
MR. DAVID A CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPED
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0478V
BCBS
NC
05
—
7701177
—
NC
Enumeration date
11/23/2011
Last updated
11/23/2011
Update your record
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