# MARTIN DUFOUR

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

## Provider details

- **NPI number:** 1578792800
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2018-02908 | NC | — |
| 207Q00000X | Family Medicine Physician | 35121488 | OH | — |
| 207Q00000X | Family Medicine Physician | 59450 | AZ | Yes |
| 207Q00000X | Family Medicine Physician | C141556 | CA | — |
| 207Q00000X | Family Medicine Physician | ME103387 | FL | — |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 01/27/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0087019 | — | OH |
| 05 | — | 3025372 | — | OH |
| 01 | — | 59450 | ARIZONA MEDICAL LICENSE | AZ |
| 05 | — | 604437 | — | AZ |