Robert Allan Devereaux, MD Valid NPI

Individual provider · Family Medicine Physician · Fountain Valley, CA

NPI

1043264781

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

A31475 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-19

Last updated

2007-11-29