Individual
DR. RENATO M DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 S 6TH ST, MONTICELLO, IN 47960-8182
(574) 583-1785
(317) 968-1321
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01067412A
IN
207P00000X
Emergency Medicine Physician
ME0067647
FL
Other
Enumeration date
07/05/2006
Last updated
06/21/2022
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