# PATRICK D DEVANNY MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Incline Orthopaedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932571429
- **Authorized official:** HEATHER DEHART (OFFICE MANAGER)
- **Authorized official phone:** (719) 471-4994

## Contact information

- **Practice address:** 2960 N CIRCLE DR STE 115, COLORADO SPRINGS, CO 80909-1163
- **Practice address phone:** (719) 471-4994
- **Practice address fax:** (719) 471-4064
- **Mailing address:** 2960 N CIRCLE DR, SUITE 125, COLORADO SPRINGS, CO 80909-1163
- **Mailing address phone:** (719) 471-4994
- **Mailing address fax:** (719) 471-4064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 20041296706 | CO | Yes |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 12/14/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1902881931 | INDIVIDUAL NPI | CO |
| 01 | — | 1932571429 | GROUP NPI | CO |
| 05 | — | 89237251 | — | CO |