Individual
DR. WILLIAM P DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026-1907
(435) 725-6874
Mailing address
6822 EAST 1000 SOUTH, FORT DUCHESNE, UT 84026
(435) 725-6874
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
170315-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07549
—
UT
01
—
930104603
RAILROAD MEDICARE
UT
05
—
H1232
—
NM
Enumeration date
08/12/2006
Last updated
04/05/2013
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