Individual
DEIRREIO DUNCAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12344 W TAMI LN, SURPRISE, AZ 85378-3606
(616) 589-3692
Mailing address
12344 W TAMI LN, SURPRISE, AZ 85378-3606
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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