MEDICARE: DR. DEVA H USREY D.C.

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
1	111N00000X	Chiropractor	7971	AZ

General Provider Information

NPI Number	:	1861794570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVA H USREY D.C.

Provider Business Mailing Address
First Line	:	2571 N 1ST AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2910
Country	:	US
Telephone Number	:	520-622-8914
Fax Number	:	520-623-7064

Provider Business Practice Location Address
First Line	:	2571 N 1ST AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2910
Country	:	US
Telephone Number	:	520-622-8914
Fax Number	:	520-623-7064

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	12/01/2010

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