Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | A17514 | CA |
NPI | 1033203104 |
---|---|
Provider Name | Dr. James M. Duvall |
First Address | Pasadena, CA 91107-5240 |
Second Address | Pasadena, CA 91107-5240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |