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Individual

DR. JUSTIN DAVID DUFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
(480) 610-7115
Mailing address
1917 S CRISMON RD, MESA, AZ 85209-6216
(480) 610-7100
(480) 610-7115

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11831
CA
207Q00000X
Family Medicine Physician
5204
OK
207Q00000X
Family Medicine Physician
Primary
6687
AZ

Other

Enumeration date
04/28/2012
Last updated
09/03/2015
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