Individual
JONATHAN H DELACEY
Active
Individual
JONATHAN H DELACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39324
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34106839
—
CO
05
—
5302835
—
CA
01
—
69185
PRESBYTERIAN
—
05
—
825705
—
AZ
01
—
84115593607
ROCKY MOUNTAIN HEALTH
CO
01
—
84115593607
PACIFICARE
—
05
—
F2427
—
NM
01
—
RAB6508
BLUE CROSS BLUE SHIELD
CO
05
—
T0334
—
UT
Enumeration date
03/08/2007
Last updated
07/07/2015
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