Doctor Name: | ROBERT DUNCAN |
NPI Number: | 1033592928 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DTR |
License Number: | 86012547 |
Business Practice Address: | Bldg 301 Andrews Ave Lyster Army Health Clinic Fort Rucker, AL - 363625333 |
Business Phone Number: | 3342557401 |
Business Fax Number: | |
Mailing Address: | Bldg 301 Andrews Ave, Lyster Army Health Clinic FORT RUCKER |
State: | AL |
Postal Code: | 363625333 |
Phone Number: | 3342557401 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2015 |
NPI Last Update Date: | 07/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 136A00000X |
License Number: | 86012547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietetic Technician, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A person trained in food and nutrition who is an integral part of health care and foodservice management teams. A dietetic technician, registered (DTR) has successfully completed at least a two-year associate |