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Individual
DR. MARK DUFF
Active
Individual
DR. MARK DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1446
WV
207Q00000X
Family Medicine Physician
03315
KY
207Q00000X
Family Medicine Physician
Primary
1446
WV
208M00000X
Hospitalist Physician
1446
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001714924
WV BCBS
WV
01
—
001722627
BLUE CROSS BLUE SHIELD
WV
05
—
0045353000
—
WV
01
—
1064385
WV DWC
WV
05
—
2851838
—
OH
05
—
7100046790
—
KY
01
—
P00881466
RR MEDICARE
KY
Enumeration date
12/29/2005
Last updated
08/06/2018
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