Healthcare Provider Details

I. General information

NPI: 1033100755
Provider Name (Legal Business Name): JEFFREY MORRIS DUNCAN B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9121 N COUNCIL RD
OKLAHOMA CITY OK
73132-1300
US

IV. Provider business mailing address

9121 N COUNCIL RD
OKLAHOMA CITY OK
73132-1300
US

V. Phone/Fax

Practice location:
  • Phone: 405-720-7207
  • Fax: 405-720-7280
Mailing address:
  • Phone: 405-720-7207
  • Fax: 405-720-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: