Individual
DR. DEWEY JEFFREY DUCKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15251 NATIONAL AVE. SUITE 108, LOS GATOS, CA 95032
(408) 358-3835
(408) 358-2765
Mailing address
15251 NATIONAL AVE., SUITE 108, LOS GATOS, CA 95032
(408) 358-3835
(408) 358-2765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A036604
CA
Other
Enumeration date
07/17/2006
Last updated
05/14/2015
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