Individual
DON R DUBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 E COUNTY LINE RD, SUITE B, GREENWOOD, IN 46143-1046
(317) 497-6333
(317) 497-6334
Mailing address
396 LEISURE LN, GREENWOOD, IN 46142-8529
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01020429A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312862
ANTHEM
IN
01
—
000000680942
ANTHEM
IN
05
—
100047940
—
IN
Enumeration date
08/01/2006
Last updated
02/10/2021
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