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Individual

MARCO FRANK DELLARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1420 VICEROY DR, DALLAS, TX 75235-2208
(214) 358-2300
(214) 366-6127
Mailing address
PO BOX 660132, DALLAS, TX 75266-0132
(214) 366-6126
(214) 366-6127

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
00022884
AL
2085R0204X
Vascular & Interventional Radiology Physician
036-098601
IL
2085R0204X
Vascular & Interventional Radiology Physician
35072763
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
L4330
TX
2085R0204X
Vascular & Interventional Radiology Physician
MD058818L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147791101
TX
Enumeration date
08/21/2006
Last updated
01/27/2010
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