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Individual
DURMAN WILLIAM MOOSE JR.
Active
Individual
DURMAN WILLIAM MOOSE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
32543
NC
208600000X
Surgery Physician
32543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8960533
—
NC
05
—
N32543
—
SC
Enumeration date
08/31/2006
Last updated
11/09/2012
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