Individual
DR. DONALD DUCKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 AVONMORE WAY, PENFIELD, NY 14526-1623
(585) 377-3907
Mailing address
21 AVONMORE WAY, PENFIELD, NY 14526-1623
(585) 377-3907
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
089287-1
NY
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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