# JEFFREY C DAVENPORT MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396924015
- **Authorized official:** DR. JEFFREY C DAVENPORT MD (PHYSICIAN)
- **Authorized official phone:** (405) 341-1231

## Contact information

- **Practice address:** 105 S BRYANT AVE STE 301, EDMOND, OK 73034-6331
- **Practice address phone:** (405) 341-1234
- **Practice address fax:** (405) 359-1770
- **Mailing address:** 105 S BRYANT AVE STE 301, EDMOND, OK 73034-6331
- **Mailing address phone:** (405) 341-1234
- **Mailing address fax:** (405) 359-1770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | I37465 | OK | Yes |

## Other

- **Enumeration date:** 10/30/2007
- **Last updated:** 10/30/2007