Individual
DR. SEAN D DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
862 MEINECKE AVE, SUITE 100, SAN LUIS OBISPO, CA 93405-1721
(805) 541-4600
(805) 541-3566
Mailing address
862 MEINECKE AVE, SUITE 100, SAN LUIS OBISPO, CA 93405-1721
(805) 541-4600
(805) 541-3566
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G54300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0083030
—
CA
Enumeration date
11/02/2006
Last updated
02/03/2023
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