Individual
MR. DANA H DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1500 STATE ST, LEXINGTON, MO 64067-1107
(660) 259-2203
(660) 259-6819
Mailing address
406 E ORCHARD ST, ODESSA, MO 64076-1578
(816) 682-3887
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5B62
MO
207Q00000X
Family Medicine Physician
DO R5B62
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241556539
—
MO
05
—
2456383202
—
KS
Enumeration date
09/15/2005
Last updated
01/22/2013
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