Individual
DENNIS G. DURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1420 W H ST, OAKDALE, CA 95361-3557
(209) 848-5310
Mailing address
PO BOX 1102, OAKDALE, CA 95361-1102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA11283
CA
363AM0700X
Medical Physician Assistant
Primary
PA11283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA11283
—
CA
Enumeration date
08/11/2006
Last updated
12/09/2008
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