Dr. Richard Stanley Bedlack Jr., M.D. Ph.D.
Psychiatry & Neurology, Neurology in Durham, NC. Individual provider (NPI-1).
NPI number1851489363
StatusActive
Last updated in NPPESMar 24, 2009
Details
- NPI
- 1851489363
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Stanley Bedlack Jr.
- Credential
- M.D. Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2006
- Last updated
- Mar 24, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 2000-00183 | NC | Yes |
Practice location
501 Fulton StreetBox 111j
Durham, NC 27705
Phone 919-286-0411
Mailing address
9 Logging TrlDurham, NC 27707-4656
Phone 919-668-2373
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