# DR. JUSTIN DAVID DUFNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1457619371
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 20A11831 | CA | — |
| 207Q00000X | Family Medicine Physician | 5204 | OK | — |
| 207Q00000X | Family Medicine Physician | 6687 | AZ | Yes |

## Other

- **Enumeration date:** 04/28/2012
- **Last updated:** 09/03/2015