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Contact Information

DOUGLAS DUFFY, PAC
520 N MONTE VISTA ST STE C
ADA, OK74820-4674
 Phone: 580-272-0018
 Fax: 580-272-0657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOUGLAS DUFFY · (Male)

NPI # 1184707457
Status Active
Credentials PAC
Entity Individual
Enumeration date 10/23/2006
Last updated 08/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5601002737
  • OK License # 407
  • OK Medicaid 200194390A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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