JON C TER POORTEN

CONCORD, NC
NPI1780660654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: NC  2000-00323)
Enumeration Date2005-12-21
Last Update Date2009-02-12
Business Address
-- JON C TER POORTEN MD
335 PENNY LN
CONCORD, NC 28025-1221
Phone number: 704-784-5901
Mailing Address
-- JON C TER POORTEN MD
335 PENNY LN
CONCORD, NC 28025-1221
Phone number: 704-784-5901
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