Individual
DR. RUSSELL ANTHONY DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1910 MALVERN AVE, HOT SPRINGS, AR 71901-7752
(501) 321-1000
Mailing address
PO BOX 634659, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N-6273
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51325
BLUE CROSS
AR
01
—
P00249815
RAILROAD MEDICARE
AR
Enumeration date
06/03/2006
Last updated
11/30/2007
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