Tristen Duncan

NPI 1124754098 · on the registry since 2022 · sole proprietor

Practice

Address: 401 Supercenter Dr
Jefferson City, MO 65101
Phone: (573) 635-3877
Fax: (573) 635-6520
Organisation at this address: Wal-Mart Stores, Inc.
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri