Individual
ULRIC DAVE DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9140 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1233
(662) 280-8222
(662) 280-5541
Mailing address
9140 HIGHWAY 51 N, SOUTHAVEN, MS 38671-1233
(662) 510-0696
(662) 280-5541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15684
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119038
—
MS
01
—
3050626
BCBS TN
TN
05
—
4045819
—
TN
Enumeration date
06/09/2006
Last updated
05/23/2012
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