MEDICARE: WILLIAM DURKIN DO

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
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	009599	AZ

General Provider Information

NPI Number	:	1588199400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM DURKIN DO

Provider Business Mailing Address
First Line	:	10238 E HAMPTON AVE STE 301A
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-3322
Country	:	US
Telephone Number	:	602-553-3113
Fax Number	:

Provider Business Practice Location Address
First Line	:	10238 E HAMPTON AVE STE 301A
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85209-3322
Country	:	US
Telephone Number	:	602-553-3113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2017
Last Update Date	:	12/16/2024

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