| Devries Medical Clinic, PLLC | |
|
2712 Orchard Drive Suite B Cedar Falls IA 50613-4235 | |
| (319) 404-2262 | |
| Not Available |
| Full Name | Devries Medical Clinic, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2712 Orchard Drive Suite B, Cedar Falls, Iowa |
| Authorized Official Name and Position | Angela Devries (OWNER) |
| Authorized Official Contact | 3194042262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devries Medical Clinic, PLLC 2712 Orchard Drive Suite B Cedar Falls IA 50613-6100 Ph: (319) 404-2262 | Devries Medical Clinic, PLLC 2712 Orchard Drive Suite B Cedar Falls IA 50613-4235 Ph: (319) 404-2262 |
| NPI Number | 1356802631 |
|---|---|
| Provider Enumeration Date | 03/28/2019 |
| Last Update Date | 10/13/2019 |
| Medicare PECOS PAC ID | 2365876794 |
|---|---|
| Medicare Enrollment ID | O20191218000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356802631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 363LF0000X | Nurse Practitioner - Family | () | Secondary |
| Provider Name | Angela F Devries |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821472556 PECOS PAC ID: 3072829183 Enrollment ID: I20150904000156 |
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