Individual
NATHAN REX DUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1301 S CRISMON RD, MESA, AZ 85209-3767
(602) 708-2599
Mailing address
1301 S CRISMON RD, MESA, AZ 85209-3767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
006636
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2012
Last updated
02/24/2015
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