# IRON BRIDGE DIABETES & ENDO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306931423
- **Authorized official:** DR. RALPH J DUDA JR. MD (OWNER)
- **Authorized official phone:** (417) 879-6364

## Contact information

- **Practice address:** 1135 E LAKEWOOD ST, SUITE 104, SPRINGFIELD, MO 65810-2403
- **Practice address phone:** (417) 879-6364
- **Practice address fax:** (417) 879-6368
- **Mailing address:** 1135 E LAKEWOOD ST, SUITE 104, SPRINGFIELD, MO 65810-2403
- **Mailing address phone:** (417) 879-6364
- **Mailing address fax:** (417) 879-6368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/17/2008