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1063487130
CHAD DAVID LISTROM
FORT BRAGG, NC
NPI
1063487130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2005-01636)
Enumeration Date
2006-02-21
Last Update Date
2007-07-08
Business Address
Dr. CHAD DAVID LISTROM M.D.
2817 REILLY RD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310-7324
Phone number: 910-907-8922
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Mailing Address
Dr. CHAD DAVID LISTROM M.D.
105 KINGSWOOD CIR
PINEHURST, NC 28374-6949
Phone number: 910-215-9910
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