Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | P0542 | DC |
NPI | 1073568317 |
---|---|
Provider Name | Dr. Philip Varca |
First Address | Durham, NC 27712-9458 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2007 |