Individual provider · Type 1 NPI
Gregory John Duellman, DO
Diagnostic Radiology Physician · Charlotte, NC
NPI number
1417029455
Active
Practice location
14121 Lissadell Cir
Charlotte, NC 28277-3137
Mailing address
336 Burtonwood Dr
Gastonia, NC 28054-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2007-00979 (NC) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 34.008149 (OH) |
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 1417029455
Gregory John Duellman, DO's National Provider Identifier is 1417029455, issued on Nov 14, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Charlotte, NC. The record was last updated on Jun 20, 2019.