Basic Information
Provider Information
NPI: 1689767352
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKLIN
FirstName: DUANE
MiddleName: CHARLES
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 353 FAIRMONT BLVD
Address2: ATTEN CHRISTIE MSS
City: RAPID CITY
State: SD
PostalCode: 577017350
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1121 WASHINGTON AVE
Address2:  
City: NEWCASTLE
State: WY
PostalCode: 82701
CountryCode: US
TelephoneNumber: 3077463582
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/02/2006
LastUpdateDate: 12/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X3429AWYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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