Individual
SUSAN RENEE DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000
(603) 653-9880
(603) 650-0908
Mailing address
1 MEDICAL CENTER DR, DHMC, LEBANON, NH 03756-1000
(603) 653-9880
(603) 650-0908
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
12487
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010928
—
VT
05
—
30204686
—
NH
Enumeration date
08/03/2006
Last updated
08/30/2013
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