# DAVID W DUFFNER MD MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720194111
- **Authorized official:** DAVID W. DUFFNER M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (760) 416-4511

## Contact information

- **Practice address:** 71511 HIGHWAY 111 STE A, RANCHO MIRAGE, CA 92270
- **Practice address phone:** (760) 340-2600
- **Practice address fax:** (760) 340-2608
- **Mailing address:** PO BOX 1962, PALM SPRINGS, CA 92263-1962
- **Mailing address phone:** (760) 416-4511
- **Mailing address fax:** (760) 416-4552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G87277 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2006
- **Last updated:** 03/29/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G872770 | — | CA |