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Individual

DAVID A DUCKWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2631 FOOTHILL BLVD, SUITE C, ROCK SPRINGS, WY 82901-4771
(307) 362-9545
(307) 362-9732
Mailing address
2631 FOOTHILL BLVD, SUITE C, ROCK SPRINGS, WY 82901-4771
(307) 362-9545
(307) 362-9732

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
119
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116937800
WY
Enumeration date
03/13/2007
Last updated
04/08/2011
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