John T. Devore PA-C - Physician Assistant in Albuquerque, New Mexico | ProviderWire

Full Name

John Thomas Devore PA-C

NPI Number

1245828565

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/03/2021

Specialties

(Taxonomies)

Name

Physician Assistant

Student in an Organized Health Care Education/Training Program

Code

363A00000X

390200000X

Primary Taxonomy

Yes

No

Licenses

State

New Mexico

License Number

PA2022-0075

Contact
Information

Purpose

Mailing

Location

Address

6200 EUBANK BLVD NE APT 1716

6200 EUBANK BLVD NE APT 1716

City

Albuquerque

Albuquerque

State

NM

NM

Postal Code

87111-7321

87111-7321

Country

US

US

Telephone Number

(785) 331-8873

(785) 331-8873

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/05/2023

Provider Address

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