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Individual
MARTIN DUFOUR
Active
Individual
MARTIN DUFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-02908
NC
207Q00000X
Family Medicine Physician
35121488
OH
207Q00000X
Family Medicine Physician
Primary
59450
AZ
207Q00000X
Family Medicine Physician
C141556
CA
207Q00000X
Family Medicine Physician
ME103387
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087019
—
OH
05
—
3025372
—
OH
01
—
59450
ARIZONA MEDICAL LICENSE
AZ
05
—
604437
—
AZ
Enumeration date
07/08/2009
Last updated
01/27/2025
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