Provider Demographics
NPI:1346333747
Name:DUNCAN, MICHAEL ALLEN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ALLEN
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:1710 N WHITLEY DR
Mailing Address - Street 2:STE C
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619-2183
Mailing Address - Country:US
Mailing Address - Phone:208-452-6453
Mailing Address - Fax:208-452-1217
Practice Address - Street 1:1710 N WHITLEY DR
Practice Address - Street 2:STE C
Practice Address - City:FRUITLAND
Practice Address - State:ID
Practice Address - Zip Code:83619-2183
Practice Address - Country:US
Practice Address - Phone:208-452-6453
Practice Address - Fax:208-452-1217
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR3604111N00000X
WACH00034661111N00000X
IDCHIA-852111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor