Duncan, David William

Duncan, David William is an individual health care provider with primary practice located at 1335 S Fairmont Ave , Lodi CA 95240-5520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Duncan, David William can be contacted via phone (209) 366-2007.

Contact Information

Primary practice address
1335 S Fairmont Ave Lodi CA 95240-5520
Phone: (209) 366-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G59412 California

Profile Details

NPI number 1790742146
LBN Legal business name Duncan, David William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jun 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790742146 NPPES
California MEDICAID 00G594120

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