Individual provider · Type 1 NPI
Raymond Howard Durussel, D.P.M.
Foot & Ankle Surgery Podiatrist · Shiprock, NM
NPI number
1417946591
Active
Practice location
US Hwy. 491 North
Shiprock, NM 87420-0160
Fax (505) 368-7078
Mailing address
PO Box 160, US Hwy 491 North
Shiprock, NM 87420-0160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 5901001395 (MI) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 0333 (NH) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0328 (NM) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Other foot & ankle surgery podiatrist providers in Shiprock
About NPI 1417946591
Raymond Howard Durussel, D.P.M.'s National Provider Identifier is 1417946591, issued on Oct 20, 2005. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Shiprock, NM. The record was last updated on May 2, 2014.