Individual
DR. TERRI DEVLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-4364
Mailing address
1357 W COLLIN RAYE DR, DE QUEEN, AR 71832-2946
(870) 642-4364
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2169
AR
208D00000X
General Practice Physician
E-2169
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025500A
—
OK
05
—
100248960A
—
OK
05
—
137581001
—
AR
01
—
186480000
QUALCHOICE
AR
01
—
5L261
BCBS
AR
Enumeration date
06/20/2005
Last updated
04/24/2014
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