Provider Demographics
NPI:1437128170
Name:DUZAK, JAMES E (NP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:DUZAK
Suffix:
Gender:M
Credentials:NP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1600 HOLLOWAY
Mailing Address - Street 2:STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-4200
Mailing Address - Country:US
Mailing Address - Phone:415-338-1351
Mailing Address - Fax:415-338-6834
Practice Address - Street 1:1600 HOLLOWAY
Practice Address - Street 2:STUDENT HEALTH SERVICES SAN FRANCISCO STATE UNIVERSITY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-4200
Practice Address - Country:US
Practice Address - Phone:415-338-1351
Practice Address - Fax:415-338-6834
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA7544363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner