Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A117437 | CA |
N | 207YP0228X | Pediatric Otolaryngology | A117437 | CA |
NPI | 1437449311 |
---|---|
Provider Name | Dr. Victor M Duarte |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2011 |
Last Update Date | 13/07/2015 |