Phyllis T. Dunckel
Family Doctor
19 Myrtle St
Medford
, Oregon 97504-7337
Phyllis T. Dunckel
Family Doctor
19 Myrtle St
Medford
, Oregon 97504-7337
(541) 776-2892
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Phyllis T. Dunckel
- 1000 E Main St
- Medford, OR
- Zip : 97504-7667
- Fax : (541) 776-2892
- Phone : (541) 773-3863
Second Address
- Phyllis T. Dunckel
- 19 Myrtle St
- Medford, OR
- Zip : 97504-7337
- Fax : (541) 776-2892
- Phone : (541) 773-3863
Reviews
FAQs
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Is Phyllis T. Dunckel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | MD166020 | OR |
National Provider Identifier
| NPI | 1003813627 |
|---|---|
| Provider Name | Phyllis T. Dunckel |
| First Address | Medford, OR 97504-7667 |
| Second Address | Medford, OR 97504-7337 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2005 |
| Last Update Date | 25/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 75784 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.