Individual provider · Type 1 NPI
Dustin Durham
Surgical Physician Assistant · New Kensington, PA
NPI number
1497155576
Active
Practice location
120 Dinwiddie Dr
New Kensington, PA 15068-9392
Other practice locations
- 100 S Jackson Ave, Pittsburgh, PA 15202-3428 · (412) 734-6100
- 1 Nolte Dr, Medical Arts Building- Suite 300, Kittanning, PA 16201-7111 · (724) 543-8784
- 100 S Jackson Ave, Pittsburgh, PA 15202-3428 · (412) 734-6100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA057071 (PA) |
Surgical Physician Assistant: Definition to come...
About NPI 1497155576
Dustin Durham's National Provider Identifier is 1497155576, issued on Aug 26, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Kensington, PA. The record was last updated on Oct 15, 2020.