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Contact Information

RAYMOND H DURUSSEL, DPM
US HWY. 491 NORTH
SHIPROCK, NM87420-0160
 Phone: 505-368-6651
 Fax: 505-368-7078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RAYMOND H DURUSSEL · (Male)

NPI Number 1417946591
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 10/20/2005
Last updated 05/02/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901001395
  • NH License # 0333
  • NM License # 0328
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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