Individual
DAVID WILLIAM DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 S FAIRMONT AVE, LODI, CA 95240-5520
(209) 366-2007
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 524-1211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G59412
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G594120
—
CA
Enumeration date
04/28/2006
Last updated
06/10/2010
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