Male or Other

David C. De Blasio DO

Internal Medicine Physician in Fort Bragg, NC(View on Map)

Full Name

David Christopher De Blasio DO

NPI Number

1821106386

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/26/2006

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Licenses

State

Georgia
North Carolina

License Number

056277
2013-00788

Contact
Information

Purpose

Mailing
Location

Address

2817 REILLY ROAD MCXC-COD CREDENTIALS
2817 REILLY ROAD

City

Fort Bragg
Fort Bragg

State

NC
NC

Postal Code

28310
28310

Country

US
US

Telephone Number

(910) 907-8922
(910) 907-8922

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/14/2020

Provider Address

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