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Individual

MAURICE R ROULHAC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
9300304
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73468
BCBS NC INDIV NO
NC
05
8973468
NC
01
P00131858
MEDICARE RAILROAD
NC
Enumeration date
06/09/2006
Last updated
03/27/2008
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