Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 35.055608 | OH |
NPI | 1124088356 |
---|---|
Provider Name | Thomas Clifford Deveny |
First Address | Akron, OH 44304-1619 |
Second Address | Akron, OH 44304-1488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0676906 | (05) | OH |
E07236 | (02) |