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Individual

DR. DEREK A DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
861 CORONADO CENTER DR, SUITE 200, HENDERSON, NV 89052
(702) 896-0940
(702) 896-6173
Mailing address
PO BOX 95306, LAS VEGAS, NV 89193-5306
(702) 896-0940
(702) 896-6173

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
36583
AZ
207T00000X
Neurological Surgery Physician
Primary
8979
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140006030
RAILROAD MEDICARE
NV
05
1619934916
NV
05
468662
AZ
Enumeration date
04/28/2006
Last updated
07/20/2015
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