Individual
DR. JOHN J DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 THE LEGENDS PKWY, EUREKA, MO 63025-3801
(636) 549-0121
(636) 549-0122
Mailing address
20 THE LEGENDS PARKWAY, EUREKA, MO 63025
(636) 549-0121
(636) 549-0122
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2002004657
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245859301
—
MO
Enumeration date
09/14/2006
Last updated
01/07/2014
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