Individual
DR. DREW MARK DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12874 W DOVE WING WAY, PEORIA, AZ 85383-2491
(440) 864-7374
Mailing address
12874 W DOVE WING WAY, PEORIA, AZ 85383-2491
(440) 864-7374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4679
AZ
Other
Enumeration date
06/05/2007
Last updated
02/26/2008
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