Doctor Name: | MR. MILO RAY DURFEE |
NPI Number: | 1174690564 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | SLP0255 |
Business Practice Address: | 514 W Wade Ln Payson, AZ - 855414886 |
Business Phone Number: | 9284724338 |
Business Fax Number: | |
Mailing Address: | 2709 W Palmer Dr, PAYSON |
State: | AZ |
Postal Code: | 855413463 |
Phone Number: | 9284724338 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP0255 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |