Individual
RAUD DUANE ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3743 LANDMARK DRIVE, STE 200, LAFAYETTE, IN 47905-6633
(765) 448-4511
(765) 447-8375
Mailing address
3743 LANDMARK DRIVE, STE 200, LAFAYETTE, IN 47905-6633
(765) 448-4511
(765) 447-8375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01058312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000379526
ANTHEM PROVIDER NUMBER
IN
05
—
200464060
—
IN
Enumeration date
03/14/2006
Last updated
11/03/2023
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