Organization · Type 2 NPI
Raleigh Vein & Laser Center PA
Vascular Surgery Physician · Raleigh, NC
NPI number
1104001742
Active
Practice location
2011 Falls Valley Dr Ste 104
Raleigh, NC 27615-3452
Fax (919) 866-0230
Other practice locations
- 10000 Falls Of Neuse Rd., Suite 303, Raleigh, NC 27614 · (919) 866-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 200001338614 (NC) |
| Vascular Surgery Physician Primary | 2086S0129X | 200001800402 (NC) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Another provider at this address
Other vascular surgery physician providers in Raleigh
- Wake Specialty Physicians, LLCVascular Surgery Physician Raleigh, NC NPI 1144634270
- Rex Physicians LLCVascular Surgery Physician Raleigh, NC NPI 1457621765
- Wakemed Specialists Group, LLCVascular Surgery Physician Raleigh, NC NPI 1801450283
- North Carolina Vascular Specialists, PAVascular Surgery Physician Raleigh, NC NPI 1811404999
About NPI 1104001742
Raleigh Vein & Laser Center PA's National Provider Identifier is 1104001742, issued on Jan 2, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Raleigh, NC. The record was last updated on Jun 21, 2021.