Individual
DR. DAVID IVAN KLUMPAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 FOX HOLLOW ROAD, SUITE 210, PINEHURST, NC 28374
(910) 295-7546
(910) 692-2831
Mailing address
125 FOX HOLLOW ROAD, STE 210, PINEHURST, NC 28374-8511
(910) 295-7546
(910) 692-2831
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
34653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153Y
BLUE CROSS BLUE SHIELD
NC
05
—
8949708
—
NC
01
—
CE7551
RAILROAD MEDICARE
NC
Enumeration date
09/12/2006
Last updated
07/08/2007
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