Provider Demographics
NPI:1033621719
Name:DUKE UNIVERSITY
Entity Type:Organization
Organization Name:DUKE UNIVERSITY
Other - Org Name:DUKE OCCUPATIONAL HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DUKE UNIV. SOP EXEC. VICE DEAN FOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:919-684-3945
Mailing Address - Street 1:2200 WEST MAIN STREET
Mailing Address - Street 2:SUITE 400A
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705
Mailing Address - Country:US
Mailing Address - Phone:919-286-3232
Mailing Address - Fax:919-286-1021
Practice Address - Street 1:4825 CREEKSTONE DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703
Practice Address - Country:US
Practice Address - Phone:919-941-0407
Practice Address - Fax:919-941-9173
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUKE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty