Most Relevant Information
Provider Data
| NPI Number: | 1003298332 |
| Provider Name: | WILLIAM GERALD DUKES B.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/23/2015 |
| Last Updated: | 06/23/2015 |
Provider Practice Location
337 FOWLER
ROSEBURG
OR
97470
Practice Location Phone/Fax
| Phone: | 5414403532 |
| Fax: | 5414403554 |
Provider Mailing Location
272 MEDICAL LOOP
SUITE E
ROSEBURG
OR
97471
Provider Mailing Phone/Fax
| Phone: | 5414403532 |
| Fax: | 5414403554 |