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Organization

PPARINC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTHONY JAY DURFEE PHYSICIAN ASSISTANT (PRESIDENT)
(888) 286-6193
Entity
Organization

Contact information

Practice address
77 W FOREST AVE, 301, FLAGSTAFF, AZ 86001-1479
(928) 773-2535
Mailing address
4937 MISSION BLVD, SAN DIEGO, CA 92109-2014
(888) 286-6193

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
207XX0801X
Orthopaedic Trauma Physician

Other

Enumeration date
11/01/2006
Last updated
09/11/2025
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