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Individual

DAVID A DUES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3118 E 10TH ST STE A, JEFFERSONVILLE, IN 47130-5904
(812) 282-6979
(812) 282-6998
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01045680A
IN
207R00000X
Internal Medicine Physician
30488
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000050971
ANTHEM - NCMA
01
000023934B
HUMANA / NCMA
01
002270
SIHO - NCMA
01
110138274
RRMCR
IN
01
1193931
CHA / NCMA
05
200123480
IN
01
2447472000
PAD - NCMA
01
50006204
PASSPORT - NCMA
01
8118208002
CIGNA / NCMA
Enumeration date
04/20/2006
Last updated
03/20/2019
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