Provider Demographics
NPI:1801089255
Name:DUFF, ROBERT H (NP)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:H
Last Name:DUFF
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 N CORONADO DR
Mailing Address - Street 2:STE B
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-6360
Mailing Address - Country:US
Mailing Address - Phone:520-629-4802
Mailing Address - Fax:
Practice Address - Street 1:157 N CORONADO DR
Practice Address - Street 2:STE B
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-6360
Practice Address - Country:US
Practice Address - Phone:520-629-4802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ244633207QG0300X
UT5136530-4405363LF0000X
IDNP-828A363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner