Provider Demographics
NPI:1871648840
Name:DUREZA, CATALINO DOMINIC (MD)
Entity Type:Individual
Prefix:DR
First Name:CATALINO
Middle Name:DOMINIC
Last Name:DUREZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5339 N FRESNO ST
Mailing Address - Street 2:SUITE#103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6851
Mailing Address - Country:US
Mailing Address - Phone:559-554-2145
Mailing Address - Fax:760-262-3946
Practice Address - Street 1:5339 N FRESNO ST
Practice Address - Street 2:SUITE#103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6851
Practice Address - Country:US
Practice Address - Phone:559-554-2145
Practice Address - Fax:760-262-3946
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2013-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA66607207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G59259Medicare UPIN