Individual
MATTHEW J DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 W 16TH ST, PUEBLO, PUEBLO, CO 81003
(719) 584-4000
Mailing address
15825 E SUNFLOWER DR, FOUNTAIN HILLS, AZ 85268-3636
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
328950
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0997148-CRNA
CO
Other
Enumeration date
11/08/2021
Last updated
12/01/2025
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