MARK DAVENPORT, M.D.
Family Medicine
Active
Individual
NPI: 1679569636
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | A40119 (CA) |
Frequently Asked Questions
NPI 1679569636 is the National Provider Identifier for MARK DAVENPORT, M.D., a Family Medicine provider located in Fullerton, CA. This NPI was enumerated on September 26, 2005.
MARK DAVENPORT, M.D. practices at 1835 SUNNY CREST DR, Fullerton, CA 92835.
Quick Facts
- NPI
- 1679569636
- Type
- Individual
- Enumerated
- Sep 26, 2005
- Last Updated
- Oct 19, 2020
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