Individual
DR. SAMUEL JEROME DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-6544
(785) 623-2192
Mailing address
2220 CANTERBURY DR, HAYS, KS 67601-2370
(785) 623-6544
(785) 623-2192
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
4301074648
MI
2086S0129X
Vascular Surgery Physician
65938
OH
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0440775
KS
Other
Enumeration date
06/28/2005
Last updated
04/30/2018
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