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Individual

DR. JOHN C DUFURRENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(208) 888-0909
(208) 888-5825
Mailing address
3520 E LOUISE DR, MERIDIAN, ID 83642-6304
(208) 888-0909
(208) 888-5825

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M6884
ID
207VG0400X
Gynecology Physician
Primary
M6884
ID
207VX0000X
Obstetrics Physician
M6884
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010001108
BLUE SHIELD OF IDAHO
ID
01
DX415
BLUE CROSS OF ID
ID
Enumeration date
05/12/2006
Last updated
09/11/2025
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