MEDICARE: MR. JEFFREY MORRIS DUNCAN B.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1033100755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY MORRIS DUNCAN B.S.

Provider Business Mailing Address
First Line	:	9121 N COUNCIL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1300
Country	:	US
Telephone Number	:	405-720-7207
Fax Number	:	405-720-7280

Provider Business Practice Location Address
First Line	:	9121 N COUNCIL RD
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1300
Country	:	US
Telephone Number	:	405-720-7207
Fax Number	:	405-720-7280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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