| Thomasjduncan | |
|
6142 Kiser Dr Huntington Beach CA 92647-6459 | |
| (171) 495-5726 | |
| Not Available |
| Full Name | Thomasjduncan |
|---|---|
| Speciality | Clinic/center |
| Location | 6142 Kiser Dr, Huntington Beach, California |
| Authorized Official Name and Position | Thomas Johnson Duncan (PHYSICAL THERAPIST ASSISTANT) |
| Authorized Official Contact | 17149557261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomasjduncan 6142 Kiser Dr Huntington Beach CA 92647-6459 Ph: (171) 495-5726 | Thomasjduncan 6142 Kiser Dr Huntington Beach CA 92647-6459 Ph: (171) 495-5726 |
| NPI Number | 1902101769 |
|---|---|
| Provider Enumeration Date | 01/25/2011 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902101769 | NPI | - | NPPES |
| N3432047 | Other | INDIVIDUAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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