Provider First Line Business Practice Location Address:
200 TRENT DRIVE
Provider Second Line Business Practice Location Address:
DUKE UNIVERSITY MEDICAL CENTER BUILDING CR2 ROOM 0584
Provider Business Practice Location Address City Name:
DURHAM
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27702
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-684-6726
Provider Business Practice Location Address Fax Number:
919-684-6002
Provider Enumeration Date:
06/29/2010