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NPI Code Detail

MEDICARE: DR. VINCENT J. DEVLIN M.D.

MEDICARE:  DR. VINCENT J. DEVLIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0117XOrthopaedic Surgery of the Spine Physician26404OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730155813
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT J. DEVLIN M.D.
Provider Business Mailing Address
First Line : 14024 QUAIL POINTE DR
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73134-1006
Country : US
Telephone Number : 405-419-8420
Fax Number : 405-419-8460
Provider Business Practice Location Address
First Line : 3115 SW 89TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73159-7901
Country : US
Telephone Number : 405-424-5630
Fax Number : 405-692-1632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 06/02/2010

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