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NPI Code Detail

MEDICARE: EMILIE BELLE DUCLOS MD

MEDICARE: EMILIE BELLE DUCLOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician266059MA

General Provider Information

NPI Number : 1518280460
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIE BELLE DUCLOS MD
Provider Business Mailing Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-0728
Fax Number :
Provider Business Practice Location Address
First Line : 18511 HIGHLANDER MEDICS ST
Second Line :
City : FORT BLISS
State : TX
Zip : 79906-5327
Country : US
Telephone Number : 915-742-0728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2010
Last Update Date : 03/24/2026

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