Organization
DEVAN MEDICAL
Active
Organization
DEVAN MEDICAL
Active
Other names
West Gate Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD DEVAN BRESHEARS APN (OWNER)
(501) 520-7503
Entity
Organization
Contact information
Practice address
140 CORDOBA CENTER DR, HOT SPRINGS VILLAGE, AR 71909-4020
(501) 520-7503
Mailing address
140 CORDOBA CENTER DR, HOT SPRINGS VILLAGE, AR 71909-4020
(501) 520-7503
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213822758
—
AR
Enumeration date
12/23/2020
Last updated
12/29/2020
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