Individual
SHANE DURKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
(480) 577-2236
Mailing address
4605 E ELWOOD ST STE 500, PHOENIX, AZ 85040-1978
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54251
AZ
208D00000X
General Practice Physician
54251
AZ
Other
Enumeration date
04/11/2016
Last updated
06/03/2021
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