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Organization

PATRICK D DEVANNY MD PC

Active
Other names
Incline Orthopaedics
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER DEHART (OFFICE MANAGER)
(719) 471-4994
Entity
Organization

Contact information

Practice address
2960 N CIRCLE DR STE 115, COLORADO SPRINGS, CO 80909-1163
(719) 471-4994
(719) 471-4064
Mailing address
2960 N CIRCLE DR, SUITE 125, COLORADO SPRINGS, CO 80909-1163
(719) 471-4994
(719) 471-4064

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20041296706
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1902881931
INDIVIDUAL NPI
CO
01
1932571429
GROUP NPI
CO
05
89237251
CO
Enumeration date
10/23/2015
Last updated
12/14/2023
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