Individual
TADD ALAN DELOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SOUTH 48TH ST, ER DEPT, LINCOLN, NE 68506
(402) 489-0200
Mailing address
PO BOX 81406, LINCOLN, NE 68501-1406
(800) 678-7672
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19539
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00653
BCBS
NE
Enumeration date
08/10/2006
Last updated
05/19/2008
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