Ian Michael Durham

Anesthesiologist Assistant · Jacksonville, FL

Individual Active NPI

NPI number 1659856862

Practice location

1 Shircliff Way Fl 32204
Jacksonville, FL 32204-4748
Phone
(904) 308-7300

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NPI record

NPI
1659856862
Entity type
Individual (Type 1)
Enumeration date
October 3, 2018
Last updated
October 3, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Anesthesiologist Assistant Primary 367H00000X — —

Mailing address

6658 Cable Car Ln
Wilmington, NC 28403-3606
Phone
(910) 620-4811

About Ian Durham

Ian Michael Durham is a healthcare provider registered in the NPI registry with the primary taxonomy Anesthesiologist Assistant (code 367H00000X). The practice location is 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748. The NPI number 1659856862 was assigned on October 3, 2018 and the record was last updated on October 3, 2018.

Frequently asked questions

What is the NPI number of Ian Michael Durham?

The NPI number is 1659856862.

What is the phone number of Ian Durham?

The phone number listed for the practice location is (904) 308-7300.

Where is Ian Durham located?

1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748.

What is the taxonomy code for Ian Durham?

The primary taxonomy code is 367H00000X – Anesthesiologist Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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