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 |
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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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