Individual
MR. DAVID ROSS DAVENPORT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1275 S STATE ST, DOVER, DE 19901-6927
(302) 678-1303
Mailing address
193 WYCOMBE DR, DOVER, DE 19904-3862
(302) 678-2455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C5-0000498
DE
363A00000X
Physician Assistant
Primary
C50000498
DE
Other
Enumeration date
07/26/2006
Last updated
03/07/2023
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