Individual
MOIRA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1307 FEDERAL ST, 2ND FLOOR, PITTSBURGH, PA 15212-4769
(877) 660-6777
(412) 359-8055
Mailing address
1307 FEDERAL ST, 2ND FLOOR, PITTSBURGH, PA 15212-4769
(877) 660-6777
(412) 359-8055
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
MD425442
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101904848
—
PA
Enumeration date
10/07/2005
Last updated
01/12/2017
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