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Individual

MATTHEW SCOTT DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2010-00364
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301087330
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087330
MI

Other

Enumeration date
03/30/2007
Last updated
03/25/2011
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