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Contact Information

DUSTIN DURACHER, MD
1340 BROAD AVE
SUITE 450
GULFPORT, MS39501
 Phone: 228-867-5006
 Fax: 228-867-5079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for DUSTIN DURACHER · (Male)

NPI Number 1871021212
Status Active
Credentials MD
Entity Individual
Enumeration date 05/30/2017
Last updated 01/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 30398
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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