Individual
JOE CALVIN DURHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23, HOLLOMAN AFB, NM 88330
(572) 575-1816
Mailing address
49 MDG, 280 DAVID L. GOLDFEIN STREET, BLDG 23, HOLLOMAN AFB, NM 88330
(572) 575-1816
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
07/22/2025
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