Individual
DR. DAVID M DELAHAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2829
(417) 820-8852
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2004006981
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155736001
—
AR
01
—
175118
MO BLUE SHIELD
MO
05
—
209093608
—
MO
01
—
82861
ARK BLUE SHIELD
AR
Enumeration date
02/01/2007
Last updated
10/02/2014
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