Individual
JOHN STEPHEN DELUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5214 MARKET ST, WILMINGTON, NC 28405-4067
(910) 782-3284
(910) 796-8379
Mailing address
517 STEELE LOOP, WILMINGTON, NC 28411-6208
(205) 527-1275
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
0010-07952
NC
Other
Enumeration date
01/23/2018
Last updated
01/17/2021
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