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Individual

DR. JOSEPH A DELUCA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
(870) 234-7676
(870) 562-2560
Mailing address
620 W GROVE ST STE 202, EL DORADO, AR 71730-4425
(870) 234-7676
(870) 562-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-4974
AR
207R00000X
Internal Medicine Physician
E4974
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000268009402
UNITED HEALTH CARE
01
06080014300
QUALCHOICE
05
1622343001
AR
01
771084601
BREASTCARE
AR
01
7906846
AETNA
01
P00340667
MEDICARE RAILROAD
Enumeration date
08/11/2006
Last updated
02/20/2024
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