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Individual

ANTONIO DURAZO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
841 W MORTON AVE, PORTERVILLE, CA 93257-3184
(559) 781-8080
(559) 781-8960
Mailing address
17452 ROAD 232, PORTERVILLE, CA 93257-9555
(559) 781-8080
(559) 781-8960

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G48642
CA
207R00000X
Internal Medicine Physician
Primary
G48642
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G486421
CA
Enumeration date
03/09/2006
Last updated
09/11/2025
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