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Individual

LOUIS A DELIONBACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5975 S LOS ALTOS PKWY, SUITE 100, SPARKS, NV 89436-7699
(775) 352-3080
(775) 327-4121
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(775) 352-3080

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3729
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11040113
CAQH
01
1194702472
NPI
Enumeration date
12/28/2005
Last updated
05/08/2018
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