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Individual
STEPHEN BRYAN DURHAM
Active
Individual
STEPHEN BRYAN DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9800520
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28754
UNITED HEALTHCARE
NC
01
—
11378
BCBS
NC
05
—
8911378
—
NC
01
—
930077029
RAILROAD MEDICARE
NC
01
—
930084670
RAILROAD MEDICARE
NC
01
—
B4544
MEDCOST
NC
05
—
Q0052B
—
SC
Enumeration date
06/15/2005
Last updated
09/29/2010
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