Individual
MR. THOMAS JONATHAN JACKSON DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA, PA-C
Contact information
Practice address
11803 JEFFERSON AVE STE 205, NEWPORT NEWS, VA 23606-2565
(757) 736-9860
Mailing address
11803 JEFFERSON AVE STE 205, NEWPORT NEWS, VA 23606-2565
(757) 736-9860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004996
VA
363A00000X
Physician Assistant
—
VA
363AM0700X
Medical Physician Assistant
—
VA
363AS0400X
Surgical Physician Assistant
—
VA
Other
Enumeration date
06/14/2015
Last updated
06/27/2024
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