Individual provider · Type 1 NPI

Matthew Shawn Devries, P.A.-C

Medical Physician Assistant · San Diego, CA

NPI number 1487677092 Active

Practice location

3350 La Jolla Village Dr, Sci Unit
San Diego, CA 92161-0002

Fax (858) 552-4315

Mailing address

2174 Amorosa Gln
Escondido, CA 92026-1143

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 15775 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1487677092

Matthew Shawn Devries, P.A.-C's National Provider Identifier is 1487677092, issued on Jul 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.