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NPI Profile for JEFFREY A DEDELOW in BLOOMINGTON, IN.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Hospice and Palliative Medicine |
207RH0002X | 11 | Physician/Internal Medicine | |
Nuclear Radiology |
2085N0904X |
| NPI Number | 1376758524 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/11/2007 | |
| Last updated | 12/09/2021 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JEFFREY A DEDELOW
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JEFFREY A DEDELOW, MD