Provider Demographics
NPI:1619242054
Name:TUMWINE, DUNCAN PETER
Entity Type:Individual
Prefix:MR
First Name:DUNCAN
Middle Name:PETER
Last Name:TUMWINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6883 BRONZE MEADOW AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-8397
Mailing Address - Country:US
Mailing Address - Phone:702-808-9227
Mailing Address - Fax:
Practice Address - Street 1:6883 BRONZE MEADOW AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-8397
Practice Address - Country:US
Practice Address - Phone:702-808-9227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner