Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 14385 | AZ |
NPI | 1093772089 |
---|---|
Provider Name | Dr. Jose I Duran |
First Address | Nogales, AZ 85621-1061 |
Second Address | Nogales, AZ 85621-2466 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0183670 | ASBAIT AEI (01) | AZ |
1Z1662 | HEALTHNET (01) | AZ |
245648 | (05) | AZ |
3323971004 | CIGNA (01) | AZ |
4045627 | AETNA PPO (01) | AZ |
627124 | AETNA HMO (01) | AZ |
860587287002 | TRICARE (01) | AZ |
AZ0183670 | BCBS (01) | AZ |