Stephen Michael Delellis in Fayetteville - Physician Assistant
Stephen Michael Delellis - NPI 1366652125
Stephen Michael Delellis is a Physician Assistant in Fayetteville, North Carolina. Stephen Michael Delellis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stephen Michael Delellis is 1366652125. The last update date is 2007-07-08.
Stephen Michael Delellis's current location address is 136 Timberlake Dr, Fayetteville, North Carolina. You can contact this provider via phone number 9106430729 and fax number 9106431113. The mailing address for Stephen Michael Delellis is 136 Timberlake Dr, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Michael Delellis |
|---|---|
| Address | 136 Timberlake Dr, Fayetteville, North Carolina |
| Phone Number | 9106430729 |
| Fax Number | 9106431113 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366652125 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 136 Timberlake Dr |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283141240 |
| Phone Number | 9106430729 |
| Fax Number | 9106431113 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 103216 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Stephen Michael Delellis by the Centers for Medicare & Medicaid Services?
The Stephen Michael Delellis has been assigned the NPI (National Provider Identifier) 1366652125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Stephen Michael Delellis located?
The Stephen Michael Delellis is located at 136 Timberlake Dr, Fayetteville, NC 283141240.
What is Stephen Michael Delellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Michael Delellis's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1366652125 to Stephen Michael Delellis?
The Centers for Medicare & Medicaid Services originally issued the 1366652125 to Stephen Michael Delellis on 2007-05-23.
When was the information related to Stephen Michael Delellis most recently updated or refreshed?
The details pertaining to the Stephen Michael Delellis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.