Individual
DR. JOSE I DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1209 W TARGET RANGE RD, NOGALES, AZ 85621-2466
(520) 287-4747
(520) 281-1112
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 281-1550
(520) 281-1112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
14385AZ
AZ
207VX0000X
Obstetrics Physician
Primary
14385
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0183670
ASBAIT AEI
AZ
01
—
1Z1662
HEALTHNET
AZ
05
—
245648
—
AZ
01
—
3323971004
CIGNA
AZ
01
—
4045627
AETNA PPO
AZ
01
—
627124
AETNA HMO
AZ
01
—
860587287002
TRICARE
AZ
01
—
AZ0183670
BCBS
AZ
Enumeration date
04/26/2006
Last updated
05/26/2022
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