Provider Demographics
NPI:1194797175
Name:DEVOLL, JAMES ROY (MD, MPH)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ROY
Last Name:DEVOLL
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2032 N UTAH ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-2354
Mailing Address - Country:US
Mailing Address - Phone:703-276-3929
Mailing Address - Fax:202-266-5700
Practice Address - Street 1:2032 N UTAH ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-2354
Practice Address - Country:US
Practice Address - Phone:703-276-3929
Practice Address - Fax:202-266-5700
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC288512083A0100X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine