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Individual

TRACEY DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002453
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371058401
TX
01
8103NY
BCBS
TX
01
P01811545
RR MEDICARE
TX
Enumeration date
07/07/2006
Last updated
08/27/2018
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