NICANOR D DEVERA

SAINT LOUIS, MO
NPI1295853802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MO  R8B11)
Enumeration Date2007-03-26
Last Update Date2007-07-08
Business Address
Dr. NICANOR D DEVERA MD
6150 OAKLAND AVE CO MARILYN KORNBERGER
SAINT LOUIS, MO 63139-3215
Phone number: 314-768-3090
Mailing Address
Dr. NICANOR D DEVERA MD
531 PEBBLE BROOK LN HMAI
BELLEVILLE, IL 62221-7609
Phone number: 618-779-5508
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