Individual provider · Type 1 NPI
Carlos Fernando Burgoa-Rio, PA-C
Medical Physician Assistant · Winston Salem, NC
NPI number
1740500495
Active
Practice location
2050 Griffith Rd
Winston Salem, NC 27103-5509
Fax (336) 293-4512
Mailing address
3555 Sycamore Trl Apt 205
Winston Salem, NC 27103-6862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0010-02248 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1740500495
Carlos Fernando Burgoa-Rio, PA-C's National Provider Identifier is 1740500495, issued on Jun 4, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 4, 2010.