Randall P Leduc, Md, Pc | |
12827 Lenover St Dillsboro IN 47018-0095 | |
(812) 432-3600 | |
(812) 432-3702 |
Full Name | Randall P Leduc, Md, Pc |
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Speciality | Internal Medicine |
Location | 12827 Lenover St, Dillsboro, Indiana |
Authorized Official Name and Position | Randall P Leduc (PRESIDENT) |
Authorized Official Contact | 8124323600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randall P Leduc, Md, Pc Po Box 95 12827 Lenover St Dillsboro IN 47018-0095 Ph: (812) 432-3600 | Randall P Leduc, Md, Pc 12827 Lenover St Dillsboro IN 47018-0095 Ph: (812) 432-3600 |
NPI Number | 1942429352 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 05/19/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942429352 | NPI | - | NPPES |
200279400A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 50003548A (Indiana) | Secondary |
207R00000X | Internal Medicine | 50003548A (Indiana) | Primary |