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Organization

CHRISTOPHER E MCILTROT MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER EUGENE MCILTROT MD (PRESIDENT)
(704) 638-5436
Entity
Organization

Contact information

Practice address
103 DORSETT DR, SUITE A, SALISBURY, NC 28144-2278
(704) 638-5436
(704) 638-5438
Mailing address
PO BOX 2148, SALISBURY, NC 28145-2148
(704) 638-5436
(704) 638-5438

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9900937
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1223N
NORTH CAROLINA BC BS
NC
01
DE1950
RAILROAD MEDICARE
NC
Enumeration date
07/04/2006
Last updated
01/04/2010
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