Provider Demographics
NPI:1639130438
Name:DURBIN, ROY JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:JOSEPH
Last Name:DURBIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3483 S CIMARRON WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3911
Mailing Address - Country:US
Mailing Address - Phone:303-905-9377
Mailing Address - Fax:
Practice Address - Street 1:10081 WADSWORTH PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-3827
Practice Address - Country:US
Practice Address - Phone:303-431-5409
Practice Address - Fax:303-453-4994
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO28025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01280254Medicaid
CO01280254Medicaid
COD28415Medicare UPIN