Individual
DR. GERALD PATRICK DURKAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2496 BAUER RD, SAN DIEGO, CA 92126
(619) 881-9011
Mailing address
PO BOX 452042 VMFA-323, SAN DIEGO, CA 92145-2042
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
MD-20713
HI
208D00000X
General Practice Physician
Primary
MD-20713
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2018
Last updated
06/27/2022
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