Organization
HOBBLE CREEK MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S DEVENPORT M. D. (M. D.)
(801) 491-9883
Entity
Organization
Contact information
Practice address
672 W. 400 S., SUITE 101, SPRINGVILLE, UT 84663
(801) 491-9883
(801) 489-3141
Mailing address
672 W. 400 S., SUITE 101, SPRINGVILLE, UT 84663
(801) 491-9883
(801) 489-3141
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
74190550160
UT
208000000X
Pediatrics Physician
Primary
74190550160
UT
Other
Enumeration date
09/11/2009
Last updated
09/04/2014
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