Individual
MARY H DUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 E PRIMROSE ST, SUITE 400, SPRINGFIELD, MO 65807-5154
(417) 269-7900
(417) 269-7990
Mailing address
1000 E PRIMROSE ST, SUITE 400, SPRINGFIELD, MO 65807-5154
(417) 269-7900
(417) 269-7990
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
04-29559
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100419950A
—
KS
01
—
160056822
RR MEDICARE
—
05
—
205842107
—
MO
01
—
31357012
BCBS KANSAS CITY
MO
01
—
432500
FIRSTGUARD
—
Enumeration date
08/30/2006
Last updated
07/03/2012
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