Melissa M Davenport, PA

NPI #1538425822 in Rigby, Idaho

Provider Information

NPI Number
1538425822
Entity Type
Individual
Name
Melissa M Davenport, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Apr 11, 2012
Last Updated
Apr 11, 2012

Practice Location

Address
167 E 1ST S
City
Rigby
State
Idaho
ZIP Code
83442-1401
Phone
(208) 745-8747

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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