Provider Demographics
NPI:1427289040
Name:ABERNETHY, DURANT BARRETT (MD)
Entity type:Individual
Prefix:DR
First Name:DURANT
Middle Name:BARRETT
Last Name:ABERNETHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 PEAK ONE DR 260
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:CO
Mailing Address - Zip Code:80443
Mailing Address - Country:US
Mailing Address - Phone:970-668-5584
Mailing Address - Fax:970-262-2196
Practice Address - Street 1:360 PEAK ONE DRIVE
Practice Address - Street 2:SUITE 260
Practice Address - City:FRISCO
Practice Address - State:CO
Practice Address - Zip Code:80443
Practice Address - Country:US
Practice Address - Phone:970-668-5584
Practice Address - Fax:970-262-2196
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30582207R00000X, 208000000X
CO0052597207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics