Individual
GEORGE DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 LINCOLN CIR SE, ORANGE CITY, IA 51041-1862
(712) 737-4984
Mailing address
3709 US 75 AVE, SIOUX CENTER, IA 51250-7523
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
054863
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267413
—
IA
Enumeration date
01/26/2006
Last updated
07/08/2007
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