Organization
JOSEPH M DUVALL MD LLC
Active
Organization
JOSEPH M DUVALL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M DUVALL MD (MD)
(314) 432-5112
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD, 5002B, ST LOUIS, MO 63141
(314) 432-3033
(314) 995-9985
Mailing address
621 S NEW BALLAS RD, 5002B, ST LOUIS, MO 63141
(314) 432-3033
(314) 995-9985
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R6127
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013588
MEDICARE ID- TYPE UNSPECI
MO
Enumeration date
09/06/2006
Last updated
11/29/2007
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