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Individual
SIMON P DURCAN
Active
Individual
SIMON P DURCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
376600-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153204
—
MT
01
—
107011688102
IHC
UT
01
—
291
HEALTHY U
UT
01
—
37660012001001
BCBS
UT
01
—
741279
IHC
UT
01
—
74312
PEHP
UT
01
—
QM0000070013
ALTIUS
UT
01
—
TPRA08188
MOLINA
UT
Enumeration date
08/23/2006
Last updated
07/08/2007
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