Provider Demographics
NPI:1598184723
Name:DR. DUCK & ASSOCIATES
Entity Type:Organization
Organization Name:DR. DUCK & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MCINTIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-691-6229
Mailing Address - Street 1:6781 E US HIGHWAY 36
Mailing Address - Street 2:SUITE 120
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-9700
Mailing Address - Country:US
Mailing Address - Phone:317-691-6229
Mailing Address - Fax:
Practice Address - Street 1:6781 EAST US HIGHWAY 36
Practice Address - Street 2:SUITE 120
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123
Practice Address - Country:US
Practice Address - Phone:317-691-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038641A208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty