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NPI Code Detail

MEDICARE: TORSTEN HALL DURKAN

MEDICARE: TORSTEN HALL DURKAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1487114534
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORSTEN HALL DURKAN
Provider Business Mailing Address
First Line : 50 ACACIA AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2230
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 ACACIA AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-2230
Country : US
Telephone Number : 415-457-4440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2019
Last Update Date : 03/24/2019

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Directions to “ TORSTEN HALL DURKAN ” Practice Location

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