Healthcare Provider Details

I. General information

NPI: 1972714483
Provider Name (Legal Business Name): WILLIAM F DUKE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HOSPITAL DR UNITED GENERAL HOSPITAL, EMERGENCY DEPARTMENT
SEDRO WOOLLEY WA
98284-4327
US

IV. Provider business mailing address

2000 HOSPITAL DR UNITED GENERAL HOSPITAL, PATIENT ACCOUNTS
SEDRO WOOLLEY WA
98284-4327
US

V. Phone/Fax

Practice location:
  • Phone: 360-856-7110
  • Fax: 360-856-7308
Mailing address:
  • Phone: 360-856-6021
  • Fax: 360-856-7300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD60011986
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number238441
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number18782
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: