Individual
WALLACE E DUFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11704 W CENTER RD STE 210, OMAHA, NE 68144-4327
(402) 393-1454
Mailing address
11704 W CENTER RD STE 210, OMAHA, NE 68144-4327
(402) 393-1454
(402) 393-3725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11860
NE
207Y00000X
Otolaryngology Physician
11860
NE
Other
Enumeration date
09/01/2005
Last updated
01/18/2022
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