Individual
SARAH DURGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-3069
Mailing address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101270695
VA
Other
Enumeration date
04/07/2019
Last updated
06/21/2023
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