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Individual

ROBERT SCOTT DUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
106003
MO
2084N0400X
Neurology Physician
Primary
106003
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107716
BLUE CROSS/BLUE SHIELD
05
1265475727
MO
05
194211001
AR
01
431560263
TRICARE
MO
01
P01106259
RR MCR
MO
Enumeration date
06/13/2006
Last updated
01/15/2013
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