Individual
CHERYL EATON DUNCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4138
(318) 681-4596
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2711
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10385
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626341
—
LA
01
—
5F600PB15
MEDICARE - PTAN
LA
Enumeration date
07/16/2006
Last updated
10/13/2017
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