Individual
DR. JASON MARC DEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
605 E HOLLAND AVE, SUITE 101, SPOKANE, WA 99218-2225
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO26307
OR
207RN0300X
Nephrology Physician
O-0476
ID
207RN0300X
Nephrology Physician
Primary
OP60007005
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8510828
—
WA
Enumeration date
08/30/2006
Last updated
03/07/2023
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