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Individual
ROBERT JOSEPH DERVELOY III
Active
Individual
ROBERT JOSEPH DERVELOY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
12390
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118384
—
MS
01
—
730-10331
BCBS
AL
Enumeration date
07/29/2005
Last updated
07/13/2026
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