person
Dustin Durham
Surgical Physician Assistant in New Kensington, Pennsylvania
NPI 1497155576

Dustin Durham is a Surgical Physician Assistant based in New Kensington, PA and is specialized in Surgical. Dustin Durham practices in New Kensington, PA. The NPI Number for Dustin Durham is 1497155576 and holds a License No. MA057071 (Pennsylvania).

The current practice location address for Dustin Durham is 120 Dinwiddie Dr, New Kensington, PA and can be reached out via phone at 412-807-8137.

Location: 120 Dinwiddie Dr, New Kensington, PA, 15068-9392
person
Provider Profile Details
NPI Number
1497155576
Provider Name
Dustin Durham
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Dinwiddie Dr, New Kensington, PA, 15068-9392
Phone Number
412-807-8137
Fax Number
Provider Enumeration Date
08/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103205944 05 PA
institution
Provider Business Practice Location Address Details
Address
120 Dinwiddie Dr
City
State
Zip
15068-9392
Phone Number
412-807-8137
Fax Number
person
Provider Business Mailing Address Details
Address
120 Dinwiddie Dr
City
State
Zip
15068-9392
Phone Number
412-807-8137
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
MA057071 (Pennsylvania)
Definition
Definition to come...
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