| Duke Health Integrated Practice, Inc | |
|
3300 Executive Dr Ste 100 Raleigh NC 27609-7491 | |
| (919) 862-5075 | |
| Not Available |
| Full Name | Duke Health Integrated Practice, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3300 Executive Dr Ste 100, Raleigh, North Carolina |
| Authorized Official Name and Position | John Stuart Smith (VP FINANCE) |
| Authorized Official Contact | 9196138995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duke Health Integrated Practice, Inc Po Box 110566 Durham NC 27709-5566 Ph: (919) 620-4855 | Duke Health Integrated Practice, Inc 3300 Executive Dr Ste 100 Raleigh NC 27609-7491 Ph: (919) 862-5075 |
| NPI Number | 1740049139 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 8325412737 |
|---|---|
| Medicare Enrollment ID | O20240819000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740049139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | (* (Not Available)) | Primary |
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