Provider Demographics
NPI:1295733541
Name:DURCAN, FIONA JANE (MD)
Entity type:Individual
Prefix:DR
First Name:FIONA
Middle Name:JANE
Last Name:DURCAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 S BERNARD ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2509
Mailing Address - Country:US
Mailing Address - Phone:509-456-0107
Mailing Address - Fax:509-747-2635
Practice Address - Street 1:427 S BERNARD ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2509
Practice Address - Country:US
Practice Address - Phone:509-456-0107
Practice Address - Fax:509-747-2635
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040238207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA026OtherTRICARE
WA2020DUOtherASURIS (REGENCE NW HEALTH
ID000010034676OtherASURIS (REGENCE BS OF ID)
WA8282790Medicaid
IDKP524OtherBLUE CROSS OF ID
WAWA 0690OtherNORTHWEST BENEFIT NETWORK
WA151061OtherLABOR AND INDUSTRIES
WA23256OtherGROUP HEALTH
WAWA 0690OtherNORTHWEST BENEFIT NETWORK
WAD99434Medicare UPIN