MEDICARE: DION J. DULAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	01031016	IN
2	207W00000X	Ophthalmology Physician	01031016	IN

General Provider Information

NPI Number	:	1073516449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DION J. DULAY M.D.

Provider Business Mailing Address
First Line	:	5200 WASHINGTON AVE
Second Line	:	STE 3000
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4863
Country	:	US
Telephone Number	:	812-476-1462
Fax Number	:	812-473-3938

Provider Business Practice Location Address
First Line	:	5200 WASHINGTON AVE
Second Line	:	STE 3000
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-4863
Country	:	US
Telephone Number	:	812-476-1462
Fax Number	:	812-473-3938

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	11/23/2022

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