Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 7258 | NC |
NPI | 1114040383 |
---|---|
Provider Name | Dr. Steven J Card |
First Address | Raleigh, NC 27609-8601 |
Second Address | Raleigh, NC 27609-8601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |