Individual
MICHELLE F DEVOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1100 NW 12TH ST, FRUITLAND, ID 83619-5040
(208) 452-6556
(541) 216-6557
Mailing address
1100 NW 12TH ST, FRUITLAND, ID 83619-5040
(208) 452-6556
(541) 216-6557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO23628
OR
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
DO23628
OR
2080P0006X
Developmental - Behavioral Pediatrics Physician
DO23628
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806364700
—
ID
Enumeration date
06/14/2005
Last updated
08/16/2023
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