Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Justin David Dufner, DO

Individual provider Family Medicine Physician · NPI 1457619371

Dr. Justin David Dufner, DO is a Family Practice in Mesa, Arizona. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2009, 17 years ago. Practices with Banner Primary Care Physicians Arizona LLC, a 237-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Oklahoma.

Years since qualifying
17
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
AZ, CA, OK
In the registry since
2012
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1917 S Crismon Rd
Mesa, AZ 85209-6216
Phone: (480) 610-7100
Fax: (480) 610-7115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6687 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20A11831 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5204 (OK)

Record details

NPI number1457619371
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 28, 2012
Last updated in NPPESSeptember 3, 2015
Mailing address1917 S Crismon Rd, Mesa, AZ 85209-6216

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2009 (17 years in practice)
Group practice Banner Primary Care Physicians Arizona Llc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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