Individual
DR. JOHN MARSHALL DEVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1402 W AVENUE H, TEMPLE, TX 76504-5342
(254) 771-8411
Mailing address
PO BOX 847408, DALLAS, TX 75284-7408
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1094
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8U1491
BLUE SHIELD
TX
Enumeration date
03/27/2006
Last updated
07/10/2007
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