Individual
MARLEY VEA DEVOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 PARKVIEW AVE, ROCKFORD, IL 61107-1822
(815) 395-0600
Mailing address
1415 WOODLAND AVE STE 140, DES MOINES, IA 50309-3203
(515) 241-4076
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R-12780
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2022
Last updated
06/08/2023
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