Individual
DR. DEBRA A DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1027-A MARTIN STREET, PARKS, LA 70582
(337) 845-4900
(337) 845-5288
Mailing address
PO BOX 62622 DEPT 1721, NEW ORLEANS, LA 70162-2600
(337) 706-1605
(337) 981-9257
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018627
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1920959
—
LA
Enumeration date
06/01/2005
Last updated
05/21/2012
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