Whalio Doctors

NPI 1073588000

Samuel K St Clair, MD

Practitioner Neurological Surgery Physician Raleigh, NC

Practice location

Address
4207 Lake Boone Trl STE 220, Raleigh, NC 27607-6685
Phone
(919) 784-1410
Mailing address
4201 Lake Boone Trl STE 202, Raleigh, NC 27607-7512

Registered specialties

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 39097 (NC)

Registry record

NPI
1073588000
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Feb 2006
Record last updated
9 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.