Basic Information
Provider Information
NPI: 1518124726
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUNCAN
FirstName: ROBERT
MiddleName: CHARLES
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6501 COYLE AVE
Address2: HOSPITALIST PROGRAM
City: CARMICHAEL
State: CA
PostalCode: 956080306
CountryCode: US
TelephoneNumber: 9165375079
FaxNumber: 9169663189
Practice Location
Address1: 6501 COYLE AVE
Address2: HOSPITALIST PROGRAM
City: CARMICHAEL
State: CA
PostalCode: 956080306
CountryCode: US
TelephoneNumber: 9165375079
FaxNumber: 9169663189
Other Information
ProviderEnumerationDate: 05/16/2008
LastUpdateDate: 12/28/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X20A10205CAN Allopathic & Osteopathic PhysiciansFamily Medicine 
208M00000X20A10205CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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