Provider Demographics
NPI:1669664934
Name:DUREL, JASON JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:JOSEPH
Last Name:DUREL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:604 N ACADIA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-4897
Mailing Address - Country:US
Mailing Address - Phone:985-446-5079
Mailing Address - Fax:985-447-2497
Practice Address - Street 1:1000 W PINHOOK RD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-2460
Practice Address - Country:US
Practice Address - Phone:337-237-0650
Practice Address - Fax:888-990-2781
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2024-06-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA203203207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology