Provider Demographics
NPI:1033434923
Name:DUNCAN DIAZ, PARKER ANDREW (MD, MPH, FAAFP)
Entity Type:Individual
Prefix:DR
First Name:PARKER
Middle Name:ANDREW
Last Name:DUNCAN DIAZ
Suffix:
Gender:M
Credentials:MD, MPH, FAAFP
Other - Prefix:DR
Other - First Name:PARKER
Other - Middle Name:ANDREW
Other - Last Name:DUNCAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:3569 ROUND BARN CIR
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403
Mailing Address - Country:US
Mailing Address - Phone:707-303-3600
Mailing Address - Fax:707-583-8796
Practice Address - Street 1:751 LOMBARDI CT
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95407-6798
Practice Address - Country:US
Practice Address - Phone:707-547-2222
Practice Address - Fax:707-547-2229
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA118268207QA0401X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000Medicare UPIN