MEDICARE: DUNCAN TIMOTHY SECOR DPT

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	208100000X	Physical Medicine & Rehabilitation Physician	3662	NV

General Provider Information

NPI Number	:	1518470822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUNCAN TIMOTHY SECOR DPT

Provider Business Mailing Address
First Line	:	620 S 12TH ST STE 110
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-4010
Country	:	US
Telephone Number	:	775-738-0818
Fax Number	:	775-738-0814

Provider Business Practice Location Address
First Line	:	620 S 12TH ST STE 110
Second Line	:
City	:	ELKO
State	:	NV
Zip	:	89801-4010
Country	:	US
Telephone Number	:	775-738-0818
Fax Number	:	775-738-0814

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

Provider Enumeration Date	:	11/08/2017
Last Update Date	:	11/08/2017

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Directions to “ DUNCAN TIMOTHY SECOR DPT” Practice Location

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