Individual provider · Type 1 NPI

Frederick Mast Dula Jr., MD

Diagnostic Radiology Physician · Charlotte, NC

NPI number 1104821412 Active

Practice location

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117

Call (704) 332-1291 Map

Mailing address

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349

Other practice locations

  • 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 · (952) 595-1301

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X26625 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1104821412

Frederick Mast Dula Jr., MD's National Provider Identifier is 1104821412, issued on Jun 15, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Mar 27, 2024.