Individual
ADRIANNE M DELA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01067357A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07901
—
LA
01
—
P00834933
RAILROAD MEDICARE
IN
01
—
P00834946
RAILROAD MEDICARE
IN
Enumeration date
05/24/2007
Last updated
10/15/2010
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