Provider Demographics
NPI:1285655126
Name:DURAN, MARIA CRISTINA (MD,)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CRISTINA
Last Name:DURAN
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:H
Other - Last Name:DURAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,
Mailing Address - Street 1:1709 DOCK ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-3204
Mailing Address - Country:US
Mailing Address - Phone:253-682-1710
Mailing Address - Fax:253-682-1714
Practice Address - Street 1:1709 DOCK ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-3204
Practice Address - Country:US
Practice Address - Phone:253-682-1710
Practice Address - Fax:253-682-1714
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95219207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine