Provider Demographics
NPI:1508862152
Name:DUFFEY, JAMES PAUL (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:PAUL
Last Name:DUFFEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:8890 N UNION BLVD
Mailing Address - Street 2:SUITE 171
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7799
Mailing Address - Country:US
Mailing Address - Phone:719-364-5633
Mailing Address - Fax:719-364-5639
Practice Address - Street 1:4112 OUTLOOK BLVD STE 37
Practice Address - Street 2:
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81008-1667
Practice Address - Country:US
Practice Address - Phone:719-562-6254
Practice Address - Fax:719-562-6255
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2023-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
COCDRH.0034349207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01343490Medicaid
CO01343490Medicaid