NPI 1760845739 · live from the CMS NPI Registry
Adrian Shaka Durham, D.O.
Family Medicine in Cheyenne, WY. National Provider Identifier 1760845739, active.
NPI record
| NPI | 1760845739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 820 E 17th St, Cheyenne, WY 82001 |
| Practice phone | 307-632-2434 |
| Mailing address | 1208 S River St, Saratoga, WY 82331 |
| Enumerated | March 29, 2016 |
| Last updated | September 24, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 147-T2 (WY) |
| Family Medicine primary | 207Q00000X | 12478A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.