Individual
MR. DEVAN LOUIS DEPAUW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1227 EAST RUSHOLME ST., DAVENPORT, IA 52803
(563) 421-1000
Mailing address
5601 EASTERN AVE. P2, DAVENPORT, IA 52807
(309) 945-2695
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
090689
IA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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