Individual
DEVIN STANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Mailing address
450 LAUREL ST STE A, DES MOINES, IA 50314-3045
(515) 247-8400
(515) 248-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
106822
IA
363AS0400X
Surgical Physician Assistant
106822
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2019
Last updated
02/19/2021
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