DR. Jerry M. Davenport, D. O.

NPI #1003935453 in Nome, Alaska

Provider Information

NPI Number: 1003935453
Entity Type: Individual
Name: DR. Jerry M. Davenport, D. O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D. O.
Enumeration Date: Mar 28, 2007
Last Updated: Jan 26, 2011

Practice Location

Address: 306 W 5TH AVE
Address 2: NORTON SOUND HEALTH COOPERATION
City: Nome
State: Alaska
ZIP Code: 99762
Phone: (907) 443-3214

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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