| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |