Provider Demographics
NPI:1770523052
Name:DUKE, HENRY HUMBERT JR (MD)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HUMBERT
Last Name:DUKE
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:52 N TU SU LN
Mailing Address - Street 2:
Mailing Address - City:BISHOP
Mailing Address - State:CA
Mailing Address - Zip Code:93514-8058
Mailing Address - Country:US
Mailing Address - Phone:760-837-6111
Mailing Address - Fax:760-872-8154
Practice Address - Street 1:52 N TU SU LN
Practice Address - Street 2:
Practice Address - City:BISHOP
Practice Address - State:CA
Practice Address - Zip Code:93514-8058
Practice Address - Country:US
Practice Address - Phone:760-837-6111
Practice Address - Fax:760-872-8154
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-05-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL00027274207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine