Organization
DUSKY R. FARMER, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSKY RIDEOUT FARMER DPM (OWNER)
(812) 421-8555
Entity
Organization
Contact information
Practice address
4501 UPPER MOUNT VERNON RD, EVANSVILLE, IN 47712-6421
(812) 421-8555
(812) 402-2139
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
—
20085820
—
IN
Enumeration date
06/04/2007
Last updated
03/17/2008
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