Organization
REX PHYSICIANS LLC
Active
Other names
Rex Ear Nose and Throat Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE M SPONG (CFO)
(919) 784-3245
Entity
Organization
Contact information
Practice address
790 SE CARY PKWY, SUITE 110, CARY, NC 27511-5678
(919) 784-7400
(919) 784-7405
Mailing address
790 SE CARY PKWY, SUITE 110, CARY, NC 27511-5678
(919) 784-7400
(919) 784-7405
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921282
—
NC
Enumeration date
09/18/2012
Last updated
07/26/2013
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