Provider Demographics
NPI:1245750124
Name:DUNCAN, CASEY ROWDEN (RCS)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:ROWDEN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:RCS
Other - Prefix:
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Mailing Address - Street 1:159 GAINESVILLE DR
Mailing Address - Street 2:
Mailing Address - City:GRAY
Mailing Address - State:LA
Mailing Address - Zip Code:70359-4525
Mailing Address - Country:US
Mailing Address - Phone:985-381-6451
Mailing Address - Fax:985-259-8771
Practice Address - Street 1:603 JACKSON ST
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-2729
Practice Address - Country:US
Practice Address - Phone:985-381-6451
Practice Address - Fax:985-274-8771
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA000927382085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA46-1900980OtherSTATE OF LOUISIANA