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Individual

DR. MICHAEL E DEVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25865 BARTON ROAD, SUITE 101, LOMA LINDA, CA 92354
(909) 558-3636
(909) 558-3722
Mailing address
25865 BARTON ROAD, SUITE 101, LOMA LINDA, CA 92354
(909) 558-3636
(909) 558-3722

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MD053830L
PA
204F00000X
Transplant Surgery Physician
Primary
G76794
CA
208600000X
Surgery Physician
G76794
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001886783
PA
Enumeration date
02/08/2006
Last updated
01/14/2026
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