Deluca, Russell Anthony

Deluca, Russell Anthony is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Deluca, Russell Anthony can be contacted via phone (501) 321-1000.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 321-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N-6273 Arkansas

Profile Details

NPI number 1053359877
LBN Legal business name Deluca, Russell Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 30th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053359877 NPPES
Arkansas Other 51325 BLUE CROSS
Arkansas Other P00249815 BLUE CROSS

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