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Individual

DR. ROBERT DANIEL DEVINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
18275 N 59TH AVENUE, BLDG K, SUITE 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339
Mailing address
18275 N 59TH AVENUE, BLDG K, SUITE 162, GLENDALE, AZ 85308-1254
(602) 547-8184
(602) 547-8339

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006273
AZ
207Q00000X
Family Medicine Physician
OS11891
FL
207Q00000X
Family Medicine Physician
UO2731
FL

Other

Enumeration date
08/30/2011
Last updated
10/24/2014
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