Healthcare Provider Details

I. General information

NPI: 1093947418
Provider Name (Legal Business Name): JOHN RICHARD DUKE SR MD PLLC DBA DUKE MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 SANTA FE DR
SEARCY AR
72143-6964
US

IV. Provider business mailing address

705 SANTA FE DR
SEARCY AR
72143-6964
US

V. Phone/Fax

Practice location:
  • Phone: 501-268-3853
  • Fax: 501-268-3856
Mailing address:
  • Phone: 501-268-3853
  • Fax: 501-268-3856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberE-0540
License Number StateAR

VIII. Authorized Official

Name: JOHN RICHARD DUKE
Title or Position: MD/OWNER
Credential:
Phone: 501-268-3853