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Dr. Gustavo Durazo JR., DNP
Primary Care Nurse Practitioner in Douglas, Arizona
NPI 1427600782

Gustavo Durazo JR. is a Primary Care Nurse Practitioner based in Douglas, AZ and is specialized in Primary Care. Gustavo Durazo JR. practices in Douglas, AZ and has the professional credentials of DNP. The NPI Number for Gustavo Durazo JR. is 1427600782 and holds a License No. 229416 (Arizona).

The current practice location address for Gustavo Durazo JR. is 1100 N F Ave, Douglas, AZ and can be reached out via phone at 520-364-3285 and via fax at 520-364-4261.

Location: 1100 N F Ave, Douglas, AZ, 85607-1920
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427600782
Provider Name
Gustavo Durazo JR.
Credential
DNP
Provider Entity Type
Individual
Gender
Male
Address
1100 N F Ave, Douglas, AZ, 85607-1920
Phone Number
520-364-3285
Fax Number
520-364-4261
Provider Enumeration Date
07/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
583256 05 AZ
institution
Provider Business Practice Location Address Details
Address
1100 N F Ave
City
Douglas
State
Arizona
Zip
85607-1919
Phone Number
520-364-3285
Fax Number
520-364-4261
person
Provider Business Mailing Address Details
Address
1100 N F Ave
City
Douglas
State
Arizona
Zip
85607-1919
Phone Number
520-364-3285
Fax Number
520-364-4261
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
229416 (Arizona)
Definition
Definition to come...
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