Doctor Name: | DR. CHARLES OSBORNE DUNCAN |
NPI Number: | 1033413547 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 58.003696 |
Business Practice Address: | 405 W Grand Ave C/o Medical Education Dayton, OH - 454054720 |
Business Phone Number: | 9377233248 |
Business Fax Number: | |
Mailing Address: | 8235 Hyannis Port Dr, Apt 2b DAYTON |
State: | OH |
Postal Code: | 454581779 |
Phone Number: | 9377236119 |
Fax Number: | |
NPI Enumeration Date: | 12/28/2010 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 58.003696 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |