Provider Demographics
NPI:1407091556
Name:DUNCALF, JUDY LYNN (DC)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:LYNN
Last Name:DUNCALF
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 ROCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52802-2071
Mailing Address - Country:US
Mailing Address - Phone:563-323-1459
Mailing Address - Fax:
Practice Address - Street 1:3118 ROCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52802-2071
Practice Address - Country:US
Practice Address - Phone:563-323-1459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor