Individual
DUANE BURINGRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
488 E VALLEY PKWY, SUITE 308, ESCONDIDO, CA 92025-9998
(760) 745-1363
Mailing address
488 E VALLEY PKWY, SUITE 310, ESCONDIDO, CA 92025-3363
(760) 745-1363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G34140
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G341400
BLUE SHIELD
CA
05
—
00G341400
—
CA
01
—
330322941
TRICARE
CA
01
—
W14158
NHC GROUP PTAN
CA
Enumeration date
06/15/2006
Last updated
07/03/2013
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