Provider Demographics
NPI:1871646851
Name:DUKE, JAMES JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JEFFREY
Last Name:DUKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15366 11TH ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3726
Mailing Address - Country:US
Mailing Address - Phone:760-962-1884
Mailing Address - Fax:760-962-1888
Practice Address - Street 1:15366 11TH ST
Practice Address - Street 2:SUITE E
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3726
Practice Address - Country:US
Practice Address - Phone:760-962-1884
Practice Address - Fax:760-962-1888
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-21
Last Update Date:2024-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG41899208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G418990Medicaid
CA00G418990Medicaid
CA00G418990Medicare PIN