Individual
JESUS SANTIAGO VIDAURRI-MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-0415
(919) 684-0415
Mailing address
2351 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-0415
(919) 684-0415
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2025-01999
NC
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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