Richard Derek Brugman DO

NPI 1013903731 - Pediatrics - 208000000X

NPI Details
NPI 1013903731
Gender Male
Enumeration Date 09/27/2005
Last Updated 05/29/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
309 S SHARON AMITY RD
SUITE 204
CHARLOTTE NC, 28211-2978, US
Phone (704) 900-0252
Fax (980) 636-6518
Business Location
309 S SHARON AMITY RD
SUITE 204
CHARLOTTE NC, 28211-2978, US
Phone (704) 900-0252
Fax (980) 636-6518
Toxanomy
Taxonomy Code 208000000X
License State North Carolina
License Number 9601252
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According to our database, Dr. Richard Derek Brugman DO NPI is 1013903731, taxonomy code is 208000000X and license number is 9601252, license state is located at North Carolina. Richard Derek Brugman DO physically located at 309 S Sharon Amity Rd, Charlotte NC, 28211-2978. NPI Number Richard Derek Brugman DO has the Individual type.

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1013903731 NPI number is provided on an as is basis without warranty of any kind. 1013903731 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Derek Brugman DO are for informational purposes only.