Individual
RYAN DURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8040 CLEARVISTA PKWY STE 150, INDIANAPOLIS, IN 46256-4673
(317) 887-7000
Mailing address
4921 PARKVIEW PL, SAINT LOUIS, MO 63110-1032
(314) 747-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01078209A
IN
207L00000X
Anesthesiology Physician
2013018946
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300002448
—
IN
Enumeration date
06/25/2013
Last updated
02/05/2025
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