Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 62969 | GA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | MD2019-0704 | NM |
NPI | 1508014044 |
---|---|
Provider Name | Dr. Gilbert Shawn Duxbury |
First Address | Albuquerque, NM 87131-0001 |
Second Address | Albuquerque, NM 87131 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 01/10/2019 |