Search › Washington › 103TC0700X
David Devidal, PHD
NPI 1033220843 · on the registry since 2006
Practice
- Address
- 945 11th St
Ste B
Longview, WA 98632 - Phone
- (360) 414-8600
- Fax
- (360) 636-7372
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- WA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington