Organization
PRIVATE DIAGNOSTIC CLINIC, PLLC
Active
Other names
Duke Orthopaedics at Page Road
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER THOMAS FREDERICK (CFO)
(919) 613-7762
Entity
Organization
Contact information
Practice address
4709 CREEKSTONE DR, SUITE 300, DURHAM, NC 27703-8411
(919) 684-3688
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
06/07/2011
Last updated
07/11/2022
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