Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 008870 | AZ |
N | 2086X0206X | Surgical Oncologist | OS-010803-L | PA |
NPI | 1356562094 |
---|---|
Provider Name | Dr. Danielle M Duchini |
First Address | Peoria, AZ 85383-4255 |
Second Address | Erie, PA 16502-2665 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 30/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1957192 | HIGHMARK BCBS (01) | PA |