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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679528632 NPPES
California MEDICAID 00G775590

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