Individual
MR. RALPH J DUDA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 883-7889
(417) 890-6151
Mailing address
909 E REPUBLIC RD STE D200, SPRINGFIELD, MO 65807-6012
(417) 883-7889
(417) 890-6151
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R7G82
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16610
BLUE CROSS BLUE SHIELD
MO
01
—
P00266673
PTAN
—
Enumeration date
10/04/2006
Last updated
04/13/2022
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