Individual
MR. JEFFREY S. DELVECCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
(417) 820-5588
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
114082
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
431560263
TRICARE
MO
01
—
970010692
RAILROAD MEDICARE
MO
Enumeration date
06/23/2006
Last updated
11/21/2013
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