Provider Demographics
NPI:1740439702
Name:DUANE E TOWNSEND A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DUANE E TOWNSEND A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:435-657-2047
Mailing Address - Street 1:112 RYANS LN
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:UT
Mailing Address - Zip Code:84049-6702
Mailing Address - Country:US
Mailing Address - Phone:435-657-2047
Mailing Address - Fax:435-657-2137
Practice Address - Street 1:112 RYANS LN
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:UT
Practice Address - Zip Code:84049-6702
Practice Address - Country:US
Practice Address - Phone:435-657-2047
Practice Address - Fax:435-657-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-15
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1869551205207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty