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Individual

DR. DUSKY RIDEOUT FARMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
3801 BELLEMEADE AVE STE 110, EVANSVILLE, IN 47714-0111
(812) 485-8390
(812) 485-5403
Mailing address
4501 UPPER MOUNT VERNON RD, EVANSVILLE, IN 47712-6421
(812) 421-8555
(812) 402-2139

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
07000944A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200805820
IN
05
20085820
IN
Enumeration date
12/22/2005
Last updated
12/10/2025
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