DR. TERRY DAVENPORT, DO

Family Medicine

Active Individual
NPI: 1710974191

Practice Address

229 S 8TH ST
St Maries, ID 83861

Phone: (208) 245-2591

Specialties

Specialty Code Primary License
Hospitalist 208M00000X No O-130 (ID)
Family Medicine 207Q00000X Yes O-130 (ID)

Frequently Asked Questions

NPI 1710974191 is the National Provider Identifier for DR. TERRY DAVENPORT, DO, a Family Medicine provider located in St Maries, ID. This NPI was enumerated on September 30, 2005.
DR. TERRY DAVENPORT, DO practices at 229 S 8TH ST, St Maries, ID 83861.

Quick Facts

NPI
1710974191
Type
Individual
Enumerated
Sep 30, 2005
Last Updated
Nov 15, 2023

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