Individual provider · Type 1 NPI
Jeffrey Robert Dufault, DPM
Foot & Ankle Surgery Podiatrist · Bonham, TX
NPI number
1275504417
Active
Practice location
1201 E 9th St
Bonham, TX 75418-4059
Fax (214) 857-0506
Mailing address
6493 E Camino Grande
Anaheim, CA 92807-4824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4021 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1275504417
Jeffrey Robert Dufault, DPM's National Provider Identifier is 1275504417, issued on Jan 27, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bonham, TX. The record was last updated on Nov 27, 2023.