DR. Terry Evert Davenport, DO

NPI #1710974191 in St Maries, Idaho

Provider Information

NPI Number: 1710974191
Entity Type: Individual
Name: DR. Terry Evert Davenport, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Sep 30, 2005
Last Updated: Nov 15, 2023

Practice Location

Address: 229 S 8TH ST
City: St Maries
State: Idaho
ZIP Code: 83861-1813
Phone: (208) 245-2591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X
Family Medicine	207Q00000X	Primary

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