Individual
MR. OTIS JAMES DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
300 W OAK ST, CARBONDALE, IL 62901-1400
(618) 536-6621
Mailing address
1181 E WALNUT ST APT 5-4, CARBONDALE, IL 62901-5016
(618) 983-9039
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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