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Individual

DR. CATHERINE ELIZABETH DURBORAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2375 E SUNNYSIDE RD STE G, IDAHO FALLS, ID 83404-8281
(208) 529-8232
(208) 542-1150
Mailing address
2375 E SUNNYSIDE RD STE G, IDAHO FALLS, ID 83404-8281
(208) 529-8232
(208) 542-1150

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
M7457
ID
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M-7457
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010004698
REGENCE BLUE SHIELD OF ID
ID
01
DV336
BLUE CROSS OF IDAHO
ID
Enumeration date
10/13/2006
Last updated
12/22/2015
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