| John Gregory Duffy Md, Apc | |
|
17821 E 17st Suite 165 Tustin CA 92780-2136 | |
| (714) 669-3158 | |
| (714) 669-3198 |
| Full Name | John Gregory Duffy Md, Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 17821 E 17st, Tustin, California |
| Authorized Official Name and Position | John Gregory Duffy (PRESIDENT) |
| Authorized Official Contact | 7146693198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Gregory Duffy Md, Apc 17821 E 17st Suite 165 Tustin CA 92780-2136 Ph: (714) 669-3158 | John Gregory Duffy Md, Apc 17821 E 17st Suite 165 Tustin CA 92780-2136 Ph: (714) 669-3158 |
| NPI Number | 1093985137 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/11/2008 |
| Medicare PECOS PAC ID | 3173588423 |
|---|---|
| Medicare Enrollment ID | O20041129000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093985137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A054948 (California) | Primary |
| Provider Name | John G Duffy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255497251 PECOS PAC ID: 9537124888 Enrollment ID: I20041201000211 |
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