Most Relevant Information
Provider Data
| NPI Number: | 1003813627 |
| Provider Name: | PHYLLIS T. DUNCKEL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD166020 |
Most Important Dates
| Enumeration Date: | 06/29/2005 |
| Last Updated: | 03/25/2021 |
Provider Practice Location
19 MYRTLE ST
MEDFORD
OR
975047337
Practice Location Phone/Fax
| Phone: | 5417733863 |
| Fax: | 5417762892 |
Provider Mailing Location
1000 E MAIN ST
MEDFORD
OR
975047667
Provider Mailing Phone/Fax
| Phone: | 5417733863 |
| Fax: | 5417762892 |
Suggested EMR
Family Practice EMR