Individual
ALFRED AINSLEY DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3530
(540) 776-2036
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101033332
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00290785
MEDICARE RAILROAD
VA
Enumeration date
06/20/2005
Last updated
11/29/2007
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