Individual
MR. DAVOR A LUKETIC
Active
Individual
MR. DAVOR A LUKETIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
11224
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012861
—
AL
05
—
009941716
—
AL
05
—
009942178
—
AL
05
—
009992495
—
AL
01
—
051012861
BLUE CROSS
AL
01
—
051526312
BLUE CROSS
AL
01
—
051539419
BLUE CROSS
AL
01
—
051540337
BLUE CROSS
AL
05
—
105703
—
AL
05
—
122689
—
AL
01
—
1610041
UHC
AL
05
—
170544
—
AL
01
—
4006199
AETNA
AL
01
—
511-09781
BLUE CROSS
AL
01
—
511-56300
BLUE CROSS
AL
01
—
515-94619
BLUE CROSS
AL
Enumeration date
06/15/2005
Last updated
12/30/2015
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