MEDICARE: DR. PHILLIP B. DUNCAN M.D.

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	174400000X	Specialist	0101035649	VA
2	207RC0000X	Cardiovascular Disease Physician	0101035649	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215067509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PHILLIP B. DUNCAN M.D.

Provider Business Mailing Address
First Line	:	281 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2613
Country	:	US
Telephone Number	:	804-530-5178
Fax Number	:	804-530-5185

Provider Business Practice Location Address
First Line	:	281 E HUNDRED RD
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2613
Country	:	US
Telephone Number	:	804-530-5178
Fax Number	:	804-530-5185

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	03/13/2024

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