MR. Michael Timothy Devereux, PA-C
NPI #1225217979 in Sunol, California
Provider Information
- NPI Number
- 1225217979
- Entity Type
- Individual
- Name
- MR. Michael Timothy Devereux, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Oct 30, 2007
- Last Updated
- Jan 24, 2014
Practice Location
- Address
- 11925 MAIN ST
- City
- Sunol
- State
- California
- ZIP Code
- 94586-9490
- Phone
- (925) 862-2130
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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