Provider Demographics
NPI:1497934061
Name:DUNCAN, SPENCER G (DO)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:G
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:VALLEY CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:67147-0388
Mailing Address - Country:US
Mailing Address - Phone:316-755-1511
Mailing Address - Fax:316-755-0991
Practice Address - Street 1:641 N SENECA ST
Practice Address - Street 2:
Practice Address - City:VALLEY CENTER
Practice Address - State:KS
Practice Address - Zip Code:67147-8208
Practice Address - Country:US
Practice Address - Phone:316-755-1511
Practice Address - Fax:316-755-0991
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-30
Last Update Date:2015-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS05-34265207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine