Individual
DR. WILLIAM S DUKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
(304) 647-1146
(304) 647-3006
Mailing address
200 MAPLEWOOD AVE, RONCEVERTE, WV 24970-1334
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12936
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007
MTST BCBS
WV
05
—
0112336000
—
WV
01
—
282375
ANTHEM BCBS
WV
01
—
370004014
RAILROAD MEDICARE
WV
01
—
4502186
AETNA
WV
01
—
58183
SOUTHERN HEALTH
WV
01
—
849938
MAMSI
WV
01
—
997126001
CIGNA
WV
Enumeration date
07/09/2006
Last updated
03/12/2009
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