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Individual

MR. DAVID A CLOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPED

Contact information

Practice address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712
Mailing address
234 OWEN DR, FAYETTEVILLE, NC 28304-3414
(910) 323-9016
(910) 486-8712

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
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