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Individual

ROCKY EVAN BACELIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
281 MCDOWELL ST, ASHEVILLE, NC 28803-2606
(828) 252-5676
Mailing address
281 MCDOWELL ST, ASHEVILLE, NC 28803-2606
(828) 252-5676

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2010-00859
NC
207N00000X
Dermatology Physician
30683
SC
207ND0900X
Dermatopathology Physician
2010-00859
NC
207ND0900X
Dermatopathology Physician
30683
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5914641
NC
Enumeration date
05/01/2007
Last updated
09/03/2019
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