Doctor Name: | MR. JOHN W DELP |
NPI Number: | 1164484416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RT |
License Number: | 4516 |
Business Practice Address: | 3520 Lakin Ave Great Bend, KS - 675303646 |
Business Phone Number: | 6207925827 |
Business Fax Number: | 6207922424 |
Mailing Address: | 3520 Lakin Ave, GREAT BEND |
State: | KS |
Postal Code: | 675303646 |
Phone Number: | 6207925827 |
Fax Number: | 6207922424 |
NPI Enumeration Date: | 04/03/2006 |
NPI Last Update Date: | 09/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471S1302X |
License Number: | 4516 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |