Individual
DONALD RAY DURETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5125 SKYWAY, PARADISE, CA 95969-5624
(530) 872-2000
Mailing address
14567 LARTER LN, MAGALIA, CA 95954-9737
(530) 873-6190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA12392
CA
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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