Organization Name: | THOMAS S. DUNCAN |
NPI Number: | 1043554835 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS S DUNCAN (OWNER) |
Mailing Address: | 595 18th St Astoria |
State: | OR US |
Postal Code: | 971033505 |
Phone Number: | 5033259131 |
Fax Number: | 8883714110 |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD09168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |