Phyllis T. Dunckel, MD
Family Medicine in Medford, OR. Individual provider (NPI-1).
NPI number1003813627
StatusActive
Last updated in NPPESMar 25, 2021
Details
- NPI
- 1003813627
- Entity type
- Individual (NPI-1)
- Name
- Phyllis T. Dunckel
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2005
- Certification date
- Mar 25, 2021
- Last updated
- Mar 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD166020 | OR | Yes |
Practice location
19 Myrtle StMedford, OR 97504-7337
Phone 541-773-3863 · Fax 541-776-2892
Mailing address
1000 E Main StMedford, OR 97504-7667
Phone 541-773-3863 · Fax 541-776-2892
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