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NPI Code Detail

MEDICARE: DR. WILLIAM A JIRANEK M.D.

MEDICARE: DR. WILLIAM A JIRANEK M.D.
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
1207X00000XOrthopaedic Surgery Physician0101048535VA
2207X00000XOrthopaedic Surgery Physician2017-00153NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184714941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM A JIRANEK M.D.
Provider Business Mailing Address
First Line : PO BOX 63362
Second Line :
City : CHARLOTTE
State : NC
Zip : 28263-3362
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4709 CREEKSTONE DR
Second Line : SUITE 300
City : DURHAM
State : NC
Zip : 27703-9822
Country : US
Telephone Number : 919-684-6166
Fax Number : 919-660-5022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 04/19/2017

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