JASON B DEVRIES

BLACKMER FOOT AND ANKLE GROUP PA

Dr JASON B DEVRIES is a male medical professional, specializing in Podiatry. He graduated in 2004 from Ohio College Of Podiatric Medicine.

Contact

BLACKMER FOOT AND ANKLE GROUP PA

191 ADDISON AVE
TWIN FALLS
ID
833015177

Tel: 2087333881

JASON B DEVRIES Information

Npi 1952592404
Pac Id 2466545850
Professional Enrollment Id I20070830000802
Last Name DEVRIES
First Name JASON
Middle Name B
Suffix
Gender M
Credential
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2004
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name BLACKMER FOOT AND ANKLE GROUP PA
Group Practice Pac Id 9830110451
Number Of Group Practice Members 2
Line 1 Street Address 191 ADDISON AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TWIN FALLS
State ID
Zip Code 833015177
Phone Number 2087333881
Hospital Affiliation Ccn 1 130002
Hospital Affiliation Lbn 1 ST LUKES MAGIC VALLEY MEDICAL CENTER
Hospital Affiliation Ccn 2 131326
Hospital Affiliation Lbn 2 CASSIA REGIONAL HOSPITAL
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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