Provider Demographics
NPI:1154495372
Name:DEVLIN, JOHN (OMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:DEVLIN
Suffix:
Gender:M
Credentials:OMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:695 S COLORADO BLVD STE 340
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-8094
Mailing Address - Country:US
Mailing Address - Phone:303-777-8818
Mailing Address - Fax:303-777-8505
Practice Address - Street 1:695 S COLORADO BLVD STE 340
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-8094
Practice Address - Country:US
Practice Address - Phone:303-777-8818
Practice Address - Fax:303-777-8505
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO454171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist