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CAROL GORDON DEVORE MD PC NPI 1386822518


NPI Information

NPI: 1386822518
Provider Name: CAROL GORDON DEVORE MD PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
31815 SOUTHFIELD RD STE 16
BEVERLY HILLS, MI
ZIP 48025
Phone: (248) 594-1400
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CAROL GORDON DEVORE MD PC is a clinic center in Beverly Hills, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CAROL GORDON DEVORE MD PC NPI is 1386822518. The provider is registered as an organization entity type.

The provider's business location address is:

31815 SOUTHFIELD RD STE 16
BEVERLY HILLS, MI
ZIP 48025-471
Phone: (248) 594-1400
Fax: (248) 594-1404

The provider's authorized official is Carol Gordon Devore .
The authorized official title is President and has the following contact phone number (248) 594-1400.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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