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 |