Individual
JACQUELYN KATE DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(800) 777-8442
Mailing address
PO BOX 928676, SAN DIEGO, CA 92192-8676
(858) 309-7701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
R-12140
IA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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