Provider Demographics
NPI:1831291483
Name:DURAND, DAVID R (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:R
Last Name:DURAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:8055 O ST
Mailing Address - Street 2:STE 300
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2580
Mailing Address - Country:US
Mailing Address - Phone:402-421-0896
Mailing Address - Fax:402-421-0945
Practice Address - Street 1:5000 N 26TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-4749
Practice Address - Country:US
Practice Address - Phone:402-475-6656
Practice Address - Fax:402-742-8419
Is Sole Proprietor?:No
Enumeration Date:2006-09-03
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE3922083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE06120OtherBCBS
NE5821OtherMIDLAND'S CHOICE
281348Medicare PIN
NE5821OtherMIDLAND'S CHOICE
P00334056Medicare PIN
278240Medicare PIN