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Individual

DR. DEREK L DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907
Mailing address
1351 W MAIN ST, LAKE CITY, IA 51449-1585
(712) 464-7907

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
05-31486
KS
207Q00000X
Family Medicine Physician
05-31486
KS
207Q00000X
Family Medicine Physician
Primary
3769
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200358810C
KS
Enumeration date
08/30/2006
Last updated
08/10/2007
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