Individual
DR. JOHN MICHAEL DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2404 S LOCUST ST, SUITE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
Mailing address
4325 HOPI CT, LAS CRUCES, NM 88011-4349
(832) 877-7002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3985
NM
Other
Enumeration date
07/03/2011
Last updated
07/03/2011
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