Individual
DR. JOHN J DUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 4TH AVE, SUITE 316, CHULA VISTA, CA 91910-4410
(619) 691-0240
(619) 691-8804
Mailing address
480 4TH AVE, SUITE 316, CHULA VISTA, CA 91910-4410
(619) 691-0240
(619) 691-8804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G48442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G484420
—
CA
Enumeration date
12/07/2005
Last updated
11/25/2013
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