Provider Demographics
NPI:1306862537
Name:DELMEZ, JAMES A (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:DELMEZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:C B 8126
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-362-7603
Mailing Address - Fax:314-747-3743
Practice Address - Street 1:4921 PARKVIEW PL
Practice Address - Street 2:5TH FLOOR SUITE C
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1032
Practice Address - Country:US
Practice Address - Phone:314-362-7603
Practice Address - Fax:314-747-3743
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2016-11-14
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Provider Licenses
StateLicense IDTaxonomies
MOR7051207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0354573022Medicaid
MO200962603Medicaid
MO030010183Medicaid
MO110004520Medicare PIN