Individual
DR. EDUARDO VISITACION DUQUEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(253) 274-7993
Mailing address
3021 GRIFFIN AVE, ENUMCLAW, WA 98022-2369
(360) 825-6511
(253) 274-7993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
60646801
WA
207Q00000X
Family Medicine Physician
Primary
MD60646799
WA
207Q00000X
Family Medicine Physician
Q2761
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061924
—
WA
Enumeration date
05/06/2013
Last updated
12/03/2020
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