Provider Demographics
NPI:1932299674
Name:DUNCAN, PATRICIA ANN (06-22-1963)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:06-22-1963
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 4TH STREET EXT SE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-4038
Mailing Address - Country:US
Mailing Address - Phone:330-308-5628
Mailing Address - Fax:
Practice Address - Street 1:437 4TH STREET EXT SE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-4038
Practice Address - Country:US
Practice Address - Phone:330-308-5628
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist