Jo Bayliss Devivo, PA-C

NPI #1992581532 in Frederick, Maryland

Provider Information

NPI Number: 1992581532
Entity Type: Individual
Name: Jo Bayliss Devivo, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 7, 2023
Last Updated: Mar 1, 2024

Practice Location

Address: 163 THOMAS JOHNSON DR STE H
City: Frederick
State: Maryland
ZIP Code: 21702-4673
Phone: (301) 694-9111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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