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NPI Code Detail

MEDICARE: VALORY P. DELUCIA MD

MEDICARE: VALORY P. DELUCIA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD60574224WA

General Provider Information

NPI Number : 1144584269
Entity Type Code : Individual
Provider Name (Legal Business Name) : VALORY P. DELUCIA MD
Provider Business Mailing Address
First Line : 955 POWELL AVE SW
Second Line :
City : RENTON
State : WA
Zip : 98057-2908
Country : US
Telephone Number : 425-277-1311
Fax Number : 425-277-1566
Provider Business Practice Location Address
First Line : 13030 MILITARY RD S STE 200
Second Line :
City : TUKWILA
State : WA
Zip : 98168-3001
Country : US
Telephone Number : 206-439-3289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 12/27/2024

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