# WILBUR DON DUQUE MD PC

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

## Provider details

- **NPI number:** 1720400401
- **Authorized official:** DR. WILBUR DON DUQUE MD (CHIEF OFFICIER)
- **Authorized official phone:** (928) 955-0002

## Contact information

- **Practice address:** 1773 W 24TH ST STE B, YUMA, AZ 85364-6230
- **Practice address phone:** (928) 955-0002
- **Practice address fax:** (844) 260-2871
- **Mailing address:** 1773 W 24TH ST STE B, YUMA, AZ 85364-6230
- **Mailing address phone:** (928) 955-0002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2014
- **Last updated:** 03/20/2025
