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DR. CHRISTOPHER EUGENE MCILTROT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 DORSETT DR, SUITE A, SALISBURY, NC 28144-2278
(704) 638-5436
(704) 638-5438
Mailing address
PO BOX 2148, SALISBURY, NC 28145-2148
(704) 638-5436
(704) 638-5438

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9900937
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223N
NORTH CAROLINA BC BS
NC
01
31517
PARTNERS MEDICARE
NC
01
375758
ALLIANCE PPO
NC
05
891223N
NC
01
C8217
MEDCOST
NC
01
P00277626
RAILROAD MEDICARE
NC
Enumeration date
07/10/2006
Last updated
01/04/2010
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