| Devan Medical | |
|
140 Cordoba Center Dr Hot Springs Village AR 71909-4020 | |
| (501) 520-7503 | |
| Not Available |
| Full Name | Devan Medical |
|---|---|
| Speciality | Clinic/center |
| Location | 140 Cordoba Center Dr, Hot Springs Village, Arkansas |
| Authorized Official Name and Position | Jarrod Devan Breshears (OWNER) |
| Authorized Official Contact | 5015207503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Devan Medical 140 Cordoba Center Dr Hot Springs Village AR 71909-4020 Ph: (501) 520-7503 | Devan Medical 140 Cordoba Center Dr Hot Springs Village AR 71909-4020 Ph: (501) 520-7503 |
| NPI Number | 1669069613 |
|---|---|
| Provider Enumeration Date | 12/23/2020 |
| Last Update Date | 12/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669069613 | NPI | - | NPPES |
| 213822758 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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