Individual provider · Type 1 NPI
Devan Louis Depauw, PA-C
Medical Physician Assistant · Davenport, IA
NPI number
1558869321
Active
Practice location
1227 East Rusholme St.
Davenport, IA 52803
Mailing address
5601 Eastern Ave. P2
Davenport, IA 52807
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 090689 (IA) |
Medical Physician Assistant: Definition to come...
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About NPI 1558869321
Devan Louis Depauw, PA-C's National Provider Identifier is 1558869321, issued on Jan 26, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Davenport, IA. The record was last updated on Jan 26, 2018.