Individual
DR. RENAUD DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.R.C.S.C.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036.127479
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036127479 1
—
IL
01
—
2162750255
BLUE SHIELD OF IL
IL
Enumeration date
07/24/2011
Last updated
02/13/2012
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