| NPI | 1356802631 |
|---|---|
| Doing Business As | DEVRIES MEDICAL CLINIC, PLLC |
| Entity Type | Organization |
| Authorized Contact | ANGELA DEVRIES Owner 319-404-2262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-10-13 |