Individual
ESCOLASTICO AUSEJO DELORIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-6965
Mailing address
1700 E 38TH ST, MARION, IN 46953-4568
(765) 674-6965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME33213
FL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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