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Mr. Michael Timothy Devereux, PA-C
Medical Physician Assistant in Sunol, California
NPI 1225217979

Michael Timothy Devereux is a Medical Physician Assistant based in Sunol, CA and is specialized in Medical. Michael Timothy Devereux practices in Sunol, CA and has the professional credentials of PA-C. The NPI Number for Michael Timothy Devereux is 1225217979 and holds a License No. PA12220 (California).

The current practice location address for Michael Timothy Devereux is 11925 Main St, Sunol, CA and can be reached out via phone at 925-862-2130.

Location: 11925 Main St, Sunol, CA, 94586-0379
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225217979
Provider Name
Michael Timothy Devereux
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
11925 Main St, Sunol, CA, 94586-0379
Phone Number
925-862-2130
Fax Number
Provider Enumeration Date
10/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11925 Main St
City
Sunol
State
California
Zip
94586-9490
Phone Number
925-862-2130
Fax Number
person
Provider Business Mailing Address Details
Address
11925 Main St
City
Sunol
State
California
Zip
94586-9490
Phone Number
925-862-2130
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA12220 (California)
Definition
Definition to come...
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