Individual
MR. MATTHEW SHAWN DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SCI UNIT, SAN DIEGO, CA 92161-0002
(858) 642-3120
(858) 552-4315
Mailing address
2174 AMOROSA GLN, ESCONDIDO, CA 92026-1143
(858) 642-3120
(858) 552-4315
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 15775
CA
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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