Provider Demographics
NPI:1972714483
Name:DUKE, WILLIAM F (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:F
Last Name:DUKE
Suffix:
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 1:2000 HOSPITAL DR
Mailing Address - Street 2:UNITED GENERAL HOSPITAL, PATIENT ACCOUNTS
Mailing Address - City:SEDRO WOOLLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98284-4327
Mailing Address - Country:US
Mailing Address - Phone:360-856-6021
Mailing Address - Fax:360-856-7300
Practice Address - Street 1:2000 HOSPITAL DR
Practice Address - Street 2:UNITED GENERAL HOSPITAL, EMERGENCY DEPARTMENT
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-4327
Practice Address - Country:US
Practice Address - Phone:360-856-7110
Practice Address - Fax:360-856-7308
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO187822083X0100X
WAMD60011986207P00000X
MA238441207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8533457Medicaid
WA8875780Medicare PIN
WA8533457Medicaid