Individual
SCOTT LEROY AXTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2301 ERWIN ROAD, DUMC 3094, HAFS BLDG. ROOM 6670, DURHAM, NC 27705
(919) 668-0289
Mailing address
312 SPARTA LN, APEX, NC 27502-1217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
253215
NC
Other
Enumeration date
05/07/2019
Last updated
06/01/2019
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