WHITE OAK PEDIATRIC ASSOCIATES PA NPI 1902953045

NPI Information

WHITE OAK PEDIATRIC ASSOCIATES PA is a specialist in Raleigh, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WHITE OAK PEDIATRIC ASSOCIATES PA NPI is 1902953045. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4414 LAKE BOONE TRL
SUITE 103
RALEIGH, NC
ZIP 27607-513
Phone: (919) 787-0266
Fax: (919) 571-9314

The provider's authorized official is Robert Lawrence Munt .
The authorized official title is Md and has the following contact phone number (919) 787-0266.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 10/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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