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Individual

MARTIN DUFOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 281-1550
(520) 281-4487
Mailing address
825 N GRAND AVE STE 100, NOGALES, AZ 85621-1061
(520) 761-2128
(520) 281-1112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2018-02908
NC
207Q00000X
Family Medicine Physician
35121488
OH
207Q00000X
Family Medicine Physician
Primary
59450
AZ
207Q00000X
Family Medicine Physician
C141556
CA
207Q00000X
Family Medicine Physician
ME103387
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0087019
OH
05
3025372
OH
01
59450
ARIZONA MEDICAL LICENSE
AZ
05
604437
AZ
Enumeration date
07/08/2009
Last updated
01/27/2025
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