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Individual

DR. RICHARD P SLOAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 W COLUMBIA ST, SUITE 440, EVANSVILLE, IN 47710-1782
(812) 602-5442
(812) 424-1254
Mailing address
1312 PROFESSIONAL BLVD, SUITE 200, EVANSVILLE, IN 47714-8007
(812) 491-6419
(812) 491-6465

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1042836
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100368570
IN
01
390004296
RAILROAD MEDICARE
IN
01
392104
MEDICARE
KY
05
64877640
KY
01
86205
COVENTRY CARE
KY
Enumeration date
07/28/2005
Last updated
02/09/2016
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