Individual
NICHOLAS DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1862
(712) 737-4984
Mailing address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1836
(712) 737-4984
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22278
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3034231
—
IA
01
—
44261
BCBS PROFESSIONAL
IA
01
—
60074
BCBS TECHNICAL
IA
Enumeration date
01/26/2006
Last updated
09/14/2016
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