Healthcare Provider Details

I. General information

NPI: 1235216847
Provider Name (Legal Business Name): JAMES HARKLESS DUNCAN D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22442 STATE ROUTE 73
WEST PORTSMOUTH OH
45663-6365
US

IV. Provider business mailing address

22442 STATE ROUTE 73
WEST PORTSMOUTH OH
45663-6365
US

V. Phone/Fax

Practice location:
  • Phone: 740-858-6656
  • Fax: 740-858-5413
Mailing address:
  • Phone: 740-858-6656
  • Fax: 740-858-5413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number34002558
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34-00-2558
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: