Individual
DR. DEVON MICHAEL JEFFCOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-1000
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5631
(310) 825-1000
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
A95846
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95846
CA MEDICAL LICENSE
CA
Enumeration date
05/21/2007
Last updated
08/24/2012
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