Individual
JOHNNY D DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3201 W GORE BLVD STE 201, LAWTON, OK 73505-6350
(805) 250-6659
(580) 250-5249
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
3110
OK
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
3110
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765610B
—
OK
01
—
140007299
RAILROAD MEDICARE
—
01
—
175194701
DOL
OK
01
—
5959599
AETNA
OK
Enumeration date
09/22/2005
Last updated
08/21/2023
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