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Contact Information

JASON B DEVRIES, DPM
191 ADDISON AVE
TWIN FALLS, ID83301-5177
 Phone: 208-734-8441
 Fax: 208-733-3881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JASON B DEVRIES · (Male)

NPI # 1952592404
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/08/2007
Last updated 07/06/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P-196
Hospital affiliation(s)
  • ST LUKES WOOD RIVER MEDICAL CENTER - (Critical Access)
    100 HOSPITAL DRIVE
    KETCHUM, ID 83340
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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