Individual
STEVEN R DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 374-1410
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
337953
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2556983
—
LA
Enumeration date
03/23/2021
Last updated
09/18/2024
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