Individual
RICHARD DEARDURFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
(765) 483-3021
Mailing address
504 W CAMP ST, LEBANON, IN 46052-1647
(765) 482-7005
(765) 483-3021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001774
IN
Other
Enumeration date
01/30/2007
Last updated
05/26/2010
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