Individual
MR. ANTHONY J. DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 HOT SPRINGS BLVD., SUITE D, LAS VEGAS, NM 87701-3481
(505) 425-3718
Mailing address
1900 HOT SPRINGS BLVD., SUITE D, LAS VEGAS, NM 87701-3481
(505) 425-3718
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
80-PA005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70562
—
NM
Enumeration date
08/31/2005
Last updated
04/19/2010
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