Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 186955-1205 | UT |
NPI | 1114986502 |
---|---|
Provider Name | Dr. Duane Everett Townsend |
First Address | Midway, UT 84049-6702 |
Second Address | Midway, UT 84049-6702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2006 |
Last Update Date | 15/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A21850 | (02) | UT |