Individual
WILLIAM JAMES DUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1241 W STADIUM BLVD, JEFFERSON CITY, MO 65109-6023
(573) 556-7724
(573) 636-6908
Mailing address
PO BOX 104240, JEFFERSON CITY, MO 65110-4240
(573) 556-7724
(573) 636-6908
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2006008809
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0428190006
DMERC/NORIDIAN
MO
05
—
301015202
—
MO
01
—
CC7852
RR GROUP
MO
01
—
P00322862
RAILROAD MEDICARE
MO
Enumeration date
06/02/2006
Last updated
07/31/2008
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