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Individual

JON D DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-7979
(317) 630-2668
Mailing address
8910 PURDUE RD, STE.500, INDIANAPOLIS, IN 46268-6100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01065234A
IN
207R00000X
Internal Medicine Physician
53139
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000591789
ANTHEM
IN
05
200905060
IN
Enumeration date
05/13/2006
Last updated
07/22/2011
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