Provider Demographics
NPI:1699877522
Name:DUNCAN, CLAUDIA J (DO)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 HOSPITAL DRIVE
Mailing Address - Street 2:
Mailing Address - City:HURRICANE
Mailing Address - State:WV
Mailing Address - Zip Code:25526-0000
Mailing Address - Country:US
Mailing Address - Phone:304-201-5165
Mailing Address - Fax:304-201-5167
Practice Address - Street 1:1209 HOSPITAL DRIVE
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-0000
Practice Address - Country:US
Practice Address - Phone:304-201-5165
Practice Address - Fax:304-201-5167
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1584207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV001711250OtherBLUE CROSS BLUE SHIELD
WV5630469000Medicaid
WVG62583Medicare UPIN
WV5630469000Medicaid