Provider Demographics
NPI:1043416001
Name:DUNCAN, APRIL D (SFIDC)
Entity Type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:D
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:SFIDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3567 W 22ND PL UNIT A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7623
Mailing Address - Country:US
Mailing Address - Phone:228-243-6878
Mailing Address - Fax:
Practice Address - Street 1:NAVAL BRANCH HEALTH CLINIC YUMA
Practice Address - Street 2:BLDG 1175
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85369-9116
Practice Address - Country:US
Practice Address - Phone:928-269-2416
Practice Address - Fax:928-269-3184
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1710I1002X
AZ1710I1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1710I1002XOtherSFIDC