Individual
BRUCE R DURELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6614 CAPTIVA PASS, PLAINFIELD, IN 46168-8000
(317) 679-0145
Mailing address
6614 CAPTIVA PASS, PLAINFIELD, IN 46168-8000
(317) 679-0145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01035248
IN
207Q00000X
Family Medicine Physician
Primary
01035248A
IN
208VP0000X
Pain Medicine Physician
01035248A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200103280
—
IN
Enumeration date
06/15/2006
Last updated
04/03/2025
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