Doctor Name: | JONATHAN H DELACEY |
NPI Number: | 1053442228 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 39324 |
Business Practice Address: | 1010 Three Springs Blvd Durango, CO - 813018296 |
Business Phone Number: | 9707642286 |
Business Fax Number: | |
Mailing Address: | Po Box 394, GRETNA |
State: | NE |
Postal Code: | 680280394 |
Phone Number: | 8774062916 |
Fax Number: | 7195912745 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 39324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |