Individual
DR. JAMES EDWARD DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 MAIN ST, BROCKWAY, PA 15824-1620
(814) 268-3645
Mailing address
1100 MAIN ST, BROCKWAY, PA 15824-1620
(814) 268-3645
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD036288E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010595400001
—
PA
01
—
010021217
RAILROAD MEDICARE
—
01
—
471943
BLUE SHIELD
PA
Enumeration date
08/26/2006
Last updated
02/18/2008
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