Provider Demographics
NPI:1275689929
Name:FRANCIS, DUANE WILSON (BS DC)
Entity Type:Individual
Prefix:DR
First Name:DUANE
Middle Name:WILSON
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:BS DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1678 BONANZA DR
Mailing Address - Street 2:
Mailing Address - City:PARK CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84060-7201
Mailing Address - Country:US
Mailing Address - Phone:435-649-1017
Mailing Address - Fax:435-649-2842
Practice Address - Street 1:1678 BONANZA DR
Practice Address - Street 2:
Practice Address - City:PARK CITY
Practice Address - State:UT
Practice Address - Zip Code:84060-7201
Practice Address - Country:US
Practice Address - Phone:435-649-1017
Practice Address - Fax:435-649-2842
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT17458-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT005726401Medicare PIN