Provider Demographics
NPI:1235948142
Name:DUNCAN, VICTORIA J (DC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12718 E 101 N
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-6615
Mailing Address - Country:US
Mailing Address - Phone:321-987-0976
Mailing Address - Fax:
Practice Address - Street 1:12718 E 101 N
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83401-6615
Practice Address - Country:US
Practice Address - Phone:321-987-0976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID4271049111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor