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NPI Code Detail

MEDICARE: DR. CHRISTIAN FRANCISCO CESPEDES D.O.

MEDICARE:  DR. CHRISTIAN FRANCISCO CESPEDES  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11922091271OTHERNCWAKE FOREST MEDICAL CENTER

General Provider Information

NPI Number : 1265790984
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTIAN FRANCISCO CESPEDES D.O.
Provider Business Mailing Address
First Line : 2507 RIDGE RD
Second Line :
City : BLACKSBURG
State : VA
Zip : 24060-6368
Country : US
Telephone Number : 571-242-0483
Fax Number :
Provider Business Practice Location Address
First Line : WAKE FOREST UNIVERSITY, MEDICAL CENTER BLVD
Second Line : PSYCHIATRY AND BEHAVIORAL MEDICINE
City : WINSTON-SALEM
State : VA
Zip : 27157-1087
Country : US
Telephone Number : 571-242-0483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2012
Last Update Date : 05/01/2012

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Directions to “ DR. CHRISTIAN FRANCISCO CESPEDES D.O.” Practice Location

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