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Individual

JOHN W DUVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 W FOREST AVE, STE 300, JACKSON, TN 38301-3937
(731) 422-0305
(731) 422-0357
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13944
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3190854
TN
Enumeration date
09/15/2005
Last updated
02/14/2012
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