Individual
JOHN WAKEFIELD DURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
15019
NH
207VX0000X
Obstetrics Physician
Primary
F1520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113553
—
NH
Enumeration date
07/13/2006
Last updated
09/24/2018
Update your record
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