PHAT V LE

RALEIGH, NC
NPI1437408531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: MO  2012028965)
Enumeration Date2012-09-05
Last Update Date2018-03-17
Business Address
PHAT V LE AA
3400 WAKE FOREST RD
RALEIGH, NC 27609-7317
Phone number: 919-954-3000
Mailing Address
PHAT V LE AA
3100 SPRING FOREST RD STE 130
RALEIGH, NC 27616-2880
Phone number: 919-873-9533
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