Individual
MR. JOHN DUDLEY DUROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1415 S HWY 89, JACKSON, WY 83001-8515
(307) 739-8999
(307) 739-4811
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-8999
(307) 739-4811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1104
WY
363AS0400X
Surgical Physician Assistant
7821385-1206
UT
Other
Enumeration date
12/08/2010
Last updated
11/05/2024
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