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Individual

DR. RODNEY MARTIN DURHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 E LANCASTER AVE STE 257, WYNNEWOOD, PA 19096
(610) 642-1908
(610) 642-6808
Mailing address
100 E LANCASTER AVE STE 257, WYNNEWOOD, PA 19096-3450
(610) 642-1908
(610) 642-6808

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD463258
PA
2086S0102X
Surgical Critical Care Physician
MD463258
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
261-537-100
FL
01
ME85293
MEDICAL LICENSE
FL
Enumeration date
06/06/2006
Last updated
03/19/2020
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