Individual
DR. JOHN R DELIDUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-5815
(509) 548-1411
Mailing address
817 COMMERCIAL ST, LEAVENWORTH, WA 98826-1316
(509) 548-5815
(509) 548-2510
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00023297
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008093
—
WA
Enumeration date
06/13/2005
Last updated
07/22/2010
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