Dr Bryan Dicillo, DC | |
7011 Fayetteville Rd Ste 106, Durham, NC 27713-7745 | |
(919) 908-7170 | |
Not Available |
Full Name | Dr Bryan Dicillo |
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Gender | Male |
Speciality | Chiropractor |
Location | 7011 Fayetteville Rd Ste 106, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669168191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5618 (North Carolina) | Primary |
Provider Name | Complete Chiropractic Sports And Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326308933 PECOS PAC ID: 4688827033 Enrollment ID: O20130115000010 |
Mailing Address | Practice Location Address |
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Dr Bryan Dicillo, DC 7011 Fayetteville Rd Ste 106, Durham, NC 27713-7745 Ph: () - | Dr Bryan Dicillo, DC 7011 Fayetteville Rd Ste 106, Durham, NC 27713-7745 Ph: (919) 908-7170 |
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