Healthcare Provider Details

I. General information

NPI: 1144581224
Provider Name (Legal Business Name): DUNCAN ROGERS MORHARDT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 07/21/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
LEBANON NH
03756-1000
US

IV. Provider business mailing address

1 MEDICAL DR
LEBANON NH
03756-0001
US

V. Phone/Fax

Practice location:
  • Phone: 603-653-9883
  • Fax:
Mailing address:
  • Phone: 603-653-9883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number21692
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number4301100440
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number4301100440
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code2088P0231X
TaxonomyPediatric Urology Physician
License Number21692
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: