Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL TIMOTHY DEVEREUX, PA-C
ActiveMR. MICHAEL TIMOTHY DEVEREUX, PA-C is a Medical Physician Assistant healthcare provider located in SUNOL, California. NPI 1225217979 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SUNOL, CA
Registration Details
- NPI Number
- 1225217979
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2007 (18.784423978561 yrs)
- Last Updated
- Jan 24, 2014
- License
-
PA12220 (CA)
Practice Information
- Address
-
11925 MAIN STSUNOL, CA, 945869490Browse CA providers · Browse ZIP 94586
- Phone
- 9258622130
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.