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DR. SAMUEL JEROME DURHAM M.D.

Physicians Surgery Vascular Surgery

Provider NPI: 1467459040

Provider Information:
DR. SAMUEL JEROME DURHAM M.D.
Gender: M
Not Sole Proprietor

Practice Location:
2220 CANTERBURY DR  HAYS, KS 67601-2370 US
Tel: 785-623-6544  Fax: 785-623-2192

Business Mailing Address:
2220 CANTERBURY DR  HAYS, KS 67601-2370 US
Tel: 785-623-6544  Fax: 785-623-2192

NPI Information:
NPI: 1467459040
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2086S0129XPhysicians
Surgery
Vascular Surgery
OH65938
N2086S0129XPhysicians
Surgery
MI4301074648
Y208G00000XPhysicians
Thoracic Surgery (Cardiothoracic Vascular Surgery)
KS0440775

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208G00000X

Type:

Classification:



Definition:



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