Provider Demographics
NPI:1205897410
Name:DUNCAN ANESTHESIA ASSOCIATES INC
Entity type:Organization
Organization Name:DUNCAN ANESTHESIA ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HALLFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:580-251-8847
Mailing Address - Street 1:1111 W WILLOW AVE
Mailing Address - Street 2:STE 106
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:75533
Mailing Address - Country:US
Mailing Address - Phone:580-252-6366
Mailing Address - Fax:580-252-4662
Practice Address - Street 1:1407 WHISENANT DR
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:75533
Practice Address - Country:US
Practice Address - Phone:580-251-8847
Practice Address - Fax:580-251-8869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========Medicare PIN