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Organization
DUKES PHYSICIAN SERVICES LLC
Active
Organization
DUKES PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MUSIC (DIRECTOR/PROVIDER ENROLLMENT)
(615) 465-7377
Entity
Organization
Contact information
Practice address
275 W 12TH ST, PERU, IN 46970-1638
(765) 472-8000
Mailing address
1000 N BROADWAY, PERU, IN 46970-1070
(765) 472-5335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200514420
—
IN
Enumeration date
04/18/2006
Last updated
10/01/2024
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