Individual provider · Type 1 NPI

Jacques Mistrot, MD

Specialist · Raleigh, NC

NPI number 1679801146 Active

Practice location

3008 Randolph Dr
Raleigh, NC 27609-6942

Call (919) 782-7365 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X26687 (NC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1679801146

Jacques Mistrot, MD's National Provider Identifier is 1679801146, issued on Nov 22, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Raleigh, NC. The record was last updated on Nov 22, 2009.