Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207NS0135X | Procedural Dermatology | 2015-00259 | NC |
NPI | 1508183286 |
---|---|
Provider Name | Dr. Christopher Ryan Urban |
First Address | Arden, NC 28704-7782 |
Second Address | Arden, NC 28704-7782 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2010 |
Last Update Date | 19/05/2015 |