Doctor Name: | NICHOLAS DEVRIES |
NPI Number: | 1063482461 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 22278 |
Business Practice Address: | 1000 Lincoln Cir Se Orange City, IA - 510411862 |
Business Phone Number: | 7127374984 |
Business Fax Number: | |
Mailing Address: | 216 2nd St Se, ORANGE CITY |
State: | IA |
Postal Code: | 510411718 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 22278 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |