Individual
DR. CATHLEEN DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
203 SANDIA DAY SCHOOL ROAD, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Mailing address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
95228
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q4512
—
NM
Enumeration date
01/26/2007
Last updated
08/29/2022
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