Individual
PHYLLIS T. DUNCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 776-2892
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
(541) 776-2892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD166020
OR
Other
Enumeration date
06/29/2005
Last updated
03/25/2021
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