Basic Information
| Provider Information | |||||||||
| NPI: | 1427286475 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT C. DUNCAN, DO, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2277 FAIR OAKS BLVD | ||||||||
| Address2: | STE 110 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958255533 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9169651111 | ||||||||
| FaxNumber: | 9166761447 | ||||||||
| Practice Location | |||||||||
| Address1: | 6651 MADISON AVE | ||||||||
| Address2: | |||||||||
| City: | CARMICHAEL | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956080602 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9169651111 | ||||||||
| FaxNumber: | 9166761447 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/29/2009 | ||||||||
| LastUpdateDate: | 11/12/2010 | ||||||||
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| AuthorizedOfficialLastName: | DUNCAN | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | INCORPORATOR | ||||||||
| AuthorizedOfficialTelephone: | 9169651111 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 20A10205 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.