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Individual

DEVON DELONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22503
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173625
AZ
Enumeration date
01/24/2006
Last updated
10/21/2010
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