Individual
MR. DOUGLAS DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8780
(208) 209-0288
(208) 209-0289
Mailing address
1130 W PRAIRIE AVE, COEUR D ALENE, ID 83815-8780
(208) 209-0288
(208) 209-0289
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-904
ID
363AM0700X
Medical Physician Assistant
PA60143655
WA
Other
Enumeration date
01/03/2007
Last updated
03/14/2022
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