Individual
MR. ROGER DALE PAGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
6209 RASCOE RD, BURLINGTON, NC 27217-9237
(336) 421-0006
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100365
NC
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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