Individual
IAN MICHAEL DELVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR., WPAFB, OH 45305
(937) 257-0837
Mailing address
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR, WPAFB, OH 45433
(937) 257-0837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.017193
OH
Other
Enumeration date
02/24/2020
Last updated
08/06/2024
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