Organization · NPI-2

Dukes Physician Services LLC

General Practice · Peru, IN

NPI number1255396883

StatusActive

Last updated in NPPESOct 1, 2024

Details

NPI: 1255396883
Entity type: Organization (NPI-2)
Legal business name: Dukes Physician Services LLC
Organization subpart: No
Enumeration date: Apr 18, 2006
Certification date: Oct 1, 2024
Last updated: Oct 1, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208D00000X	General Practice	–	–	Yes
207Q00000X	Family Medicine	–	–
207RC0000X	Internal Medicine, Cardiovascular Disease	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
207X00000X	Orthopaedic Surgery	–	–
363L00000X	Nurse Practitioner	–	–

Practice location

275 W 12th St
Peru, IN 46970-1638

Phone 765-472-8000

Mailing address

1000 N Broadway
Peru, IN 46970-1070

Phone 765-472-5335

Authorized official

Kristina Music
Director/Provider Enrollment
6154657377

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