Individual
DR. ADRIAN SHAKA DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Mailing address
1208 S RIVER ST, SARATOGA, WY 82331-5204
(307) 326-3169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12478A
WY
207Q00000X
Family Medicine Physician
147-T2
WY
Other
Enumeration date
03/29/2016
Last updated
09/24/2021
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