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Individual

DR. MICHAEL THOMAS DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W 144TH AVE STE 220, WESTMINSTER, CO 80023-9328
(720) 227-0977
Mailing address
10200 GRAND CENTRAL AVE STE 220, OWINGS MILLS, MD 21117-4366

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0062446
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029082
KAISER COMMERCIAL NUMBER
CO
05
9000174722
CO
Enumeration date
04/04/2012
Last updated
03/13/2025
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