Harris, Duncan Dwaynne
Harris, Duncan Dwaynne is an individual health care provider with primary practice located at 3200 Channing Way Ste A205 , Idaho Falls ID 83404-7586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Harris, Duncan Dwaynne can be contacted via phone (208) 535-4580.Contact Information
Primary practice address
3200 Channing Way Ste A205
Idaho Falls ID 83404-7586
Phone: (208) 535-4580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | G77559 | California |
Profile Details
| NPI number | 1679528632 |
|---|---|
| LBN Legal business name | Harris, Duncan Dwaynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Nov 25th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679528632 | NPPES |
| California | MEDICAID | 00G775590 |
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