Individual provider · Type 1 NPI

Jeffrey Alan Dedelow, MD

Diagnostic Radiology Physician · Bloomington, IN

NPI number 1376758524 Active

Practice location

514 W 2nd St
Bloomington, IN 47403-2316

Call (812) 353-3719 Map

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice locations

  • 429 S Landmark Ave, Bloomington, IN 47403-5003 · (812) 332-8242

Specialties and licenses

TaxonomyCodeLicense
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X01069197A (IN)
Nuclear Radiology Physician 2085N0904X4301089258 (MI)
Diagnostic Radiology Physician 2085R0202XMD026741 (LA)
Diagnostic Radiology Physician 2085R0202X4301089258 (MI)
Diagnostic Radiology Physician 2085R0202X35.122017 (OH)
Diagnostic Radiology Physician Primary 2085R0202X01069197A (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1376758524

Jeffrey Alan Dedelow, MD's National Provider Identifier is 1376758524, issued on May 11, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Bloomington, IN. The record was last updated on Dec 9, 2021.