Individual
DR. JOHN P DELEON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 N STATE ST, CLARKS SUMMIT, PA 18411-1062
(570) 585-4290
(570) 585-4299
Mailing address
402 N STATE ST, CLARKS SUMMIT, PA 18411-1062
(570) 585-4290
(570) 585-4299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AJ006621-L
PA
111NN1001X
Nutrition Chiropractor
AJ006621-L
PA
111NS0005X
Sports Physician Chiropractor
AJ006621-L
PA
111NX0100X
Occupational Health Chiropractor
AJ006621-L
PA
111NX0800X
Orthopedic Chiropractor
AJ006621-L
PA
Other
Enumeration date
10/23/2006
Last updated
09/20/2013
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