Individual
NANCY R. DUNCAN-LARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
702 W BROADWAY ST, SPIRO, OK 74959-2430
(918) 962-2442
(918) 962-3895
Mailing address
PO BOX 402319, ATLANTA, GA 30384-2319
(479) 709-7399
(479) 709-7053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1299
OK
363A00000X
Physician Assistant
PA247
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159884741
—
AR
05
—
200016720A
—
OK
Enumeration date
03/01/2006
Last updated
09/30/2011
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