Individual
JASON B DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
191 ADDISON AVE, TWIN FALLS, ID 83301-5177
(208) 734-8441
(208) 733-3881
Mailing address
PO BOX 16820, BOISE, ID 83715-6820
(208) 734-8441
(208) 733-3881
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-196
ID
Other
Enumeration date
08/08/2007
Last updated
07/06/2011
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