Individual
MARK O DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 NW 31ST ST FL 2, LAWTON, OK 73505-6100
(580) 248-5255
(580) 248-2036
Mailing address
PO BOX 785, LAWTON, OK 73502
(580) 357-9984
(580) 357-3277
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
3848
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114100A
—
OK
01
—
140007550
RAILROAD MEDICARE
—
01
—
175194701
DOL
OK
01
—
7358213
AETNA
OK
Enumeration date
09/20/2005
Last updated
07/10/2013
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