Individual
DR. DEVIN NATHANIEL MINIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 N 12TH ST, SUITE 301, PHOENIX, AZ 85006-2848
(602) 239-6968
Mailing address
1324 E VILLA THERESA DR, PHOENIX, AZ 85022-1286
(518) 209-2981
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41987
AZ
390200000X
Student in an Organized Health Care Education/Training Program
62517
NY
Other
Enumeration date
06/06/2008
Last updated
01/10/2011
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