Organization
DURHAM GASTROENTEROLOGY CONSULTANTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA WELLS BRAZER (PRACTICE MANAGER)
(919) 806-8322
Entity
Organization
Contact information
Practice address
249 E NC HIGHWAY 54, STE 200, DURHAM, NC 27713
(919) 806-8322
(919) 433-0409
Mailing address
249 E NC HIGHWAY 54, STE 200, DURHAM, NC 27713
(919) 806-8322
(919) 433-0409
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015YT
—
NC
Enumeration date
03/23/2006
Last updated
09/27/2007
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