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Juan Carlos De Virgiliis, MD

Family Medicine in Boone, NC. Individual provider (NPI-1).

NPI number1053403246
StatusActive
Last updated in NPPESMar 17, 2010

Details

NPI
1053403246
Entity type
Individual (NPI-1)
Name
Juan Carlos De Virgiliis
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2006
Last updated
Mar 17, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine28719NCYes

Practice location

381 Deerfield Rd
Boone, NC 28607

Phone 828-262-3733 · Fax 828-264-7799

Mailing address

381 Deerfield Rd
Boone, NC 28607

Phone 828-297-1811 · Fax 828-264-7799

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