Individual
DR. WILLIAM MICHAEL DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2990
(573) 302-2992
Mailing address
PO BOX 1500, OSAGE BEACH, MO 65065-1500
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
R7420
MO
208600000X
Surgery Physician
R7420
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135570014
MEDICARE PTAN
MO
05
—
200343549
—
MO
Enumeration date
08/30/2006
Last updated
03/07/2012
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