| Doctor Name: | DR. JOHN DEDIC |
| NPI Number: | 1225003494 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 2002021766 |
| Business Practice Address: | 4700 Las Vegas Blvd N Nellis Afb, NV - 891916600 |
| Business Phone Number: | 7026532830 |
| Business Fax Number: | |
| Mailing Address: | 4700 Las Vegas Blvd N, NELLIS AFB |
| State: | NV |
| Postal Code: | 891916600 |
| Phone Number: | 7026532830 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2006 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 2002021766 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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. |