Provider Demographics
NPI:1689750010
Name:DUKES, MARTIN WALTER JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:WALTER
Last Name:DUKES
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1L & 1M ESTATE WINTBERG
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00803
Mailing Address - Country:US
Mailing Address - Phone:340-777-1122
Mailing Address - Fax:
Practice Address - Street 1:MEDICAL ARTS COMPLEX
Practice Address - Street 2:SUITE 11
Practice Address - City:ST. THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-774-0232
Practice Address - Fax:340-774-0239
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1283207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VIAD1117591OtherOBSTETRICS & GYNECOLOGY