Individual
DR. DEMETRIAN IVAN DORNIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3701 NW CARY PKWY, SUITE 101, CARY, NC 27513-8431
(919) 467-9955
(919) 467-2544
Mailing address
3701 NW CARY PKWY, SUITE 101, CARY, NC 27513-8431
(919) 467-9955
(919) 467-2544
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9800513
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891183H
—
NC
05
—
89128E2
—
NC
Enumeration date
01/28/2007
Last updated
07/09/2007
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