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Individual

ROBERT DUNCAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3541
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110231110
RR MEDICARE
AZ
05
636368
AZ
01
AZ0710240
BC/BS OF AZ
AZ
Enumeration date
03/28/2006
Last updated
05/30/2012
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