# DR. MARK DUFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992782031
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 1446 | WV | — |
| 207Q00000X | Family Medicine Physician | 03315 | KY | — |
| 207Q00000X | Family Medicine Physician | 1446 | WV | Yes |
| 208M00000X | Hospitalist Physician | 1446 | WV | — |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 08/06/2018

## 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 |