Individual
MR. KEVIN M DUWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 N 4TH ST, FLAGSTAFF, AZ 86004-3708
(928) 719-7400
(928) 440-5399
Mailing address
8475 E HARTFORD DR STE 201, SCOTTSDALE, AZ 85255-5477
(480) 591-9345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
12685
MT
2085R0202X
Diagnostic Radiology Physician
30288
AZ
2085R0202X
Diagnostic Radiology Physician
47637
CO
2085R0204X
Vascular & Interventional Radiology Physician
12685
MT
2085R0204X
Vascular & Interventional Radiology Physician
Primary
30288
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932198652
—
MT
01
—
30288
STATE LICENSE
AZ
05
—
698409
—
AZ
05
—
82724865
—
CO
Enumeration date
10/14/2005
Last updated
08/19/2022
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