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Nicanor Devera, MD
NPI 1295853802 · on the registry since 2007
Practice
- Address
- 6150 Oakland Ave
Co Marilyn Kornberger
Saint Louis, MO 63139 - Phone
- (314) 768-3090
- Fax
- (314) 768-3031
- Organisation at this address
- Forest Park Anesthesia, Inc
Forest Park Hospital Corp #1
Forest Park Critical Care Llc
Forest Park Hospital Corporation
Forest Park Hospital Corporation #1Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- MO
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 Missouri