NPI 1417946591

Raymond Howard Durussel, DPM

Practitioner Foot & Ankle Surgery Podiatrist Shiprock, NM

Practice location

Address: US Hwy. 491 North, Shiprock, NM 87420-0160
Phone: (505) 368-6651
Fax: (505) 368-7078
Mailing address: PO Box 160 US Hwy 491 North, Shiprock, NM 87420-0160

Registered specialties (3)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0333 (NH)

Other Podiatrist providers in New Mexico →

Primary Podiatric Medicine Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 5901001395 (MI)

Foot & Ankle Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence 0328 (NM)

Registry record

NPI: 1417946591
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Oct 2005
Record last updated: 2 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.