Stuart Devaul, MD
Emergency Medicine in Kokomo, IN. Individual provider (NPI-1).
NPI number1255414843
StatusActive
Last updated in NPPESJul 7, 2022
Details
- NPI
- 1255414843
- Entity type
- Individual (NPI-1)
- Name
- Stuart Devaul
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2006
- Certification date
- Jul 7, 2022
- Last updated
- Jul 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 01042975A | IN | Yes |
| 207Q00000X | Family Medicine | 01042975 | IN |
Practice location
5111 Clinton DrKokomo, IN 46902-7136
Phone 765-453-8800 · Fax 765-453-8813
Mailing address
5111 Clinton DrKokomo, IN 46902-7136
Phone 765-453-8800 · Fax 765-453-8813
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