| Doctor Name: | DR. DAVID B DURHAM |
| NPI Number: | 1326264623 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD2008-0595 |
| Business Practice Address: | 8210 Louisiana Blvd. Ne Suite C Albuquerque, NM - 871131761 |
| Business Phone Number: | 5058581222 |
| Business Fax Number: | 5058581224 |
| Mailing Address: | 8210 Louisiana Blvd. Ne, Suite C ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871131761 |
| Phone Number: | 5058581222 |
| Fax Number: | 5058581224 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 04/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD2008-0595 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |