Individual
ELAINE E DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1321 MCGEE AVE, BERKELEY, CA 94703-1005
(510) 558-0510
Mailing address
1321 MCGEE AVE, BERKELEY, CA 94703-1005
(510) 558-0510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G77450
CA
Other
Enumeration date
07/21/2006
Last updated
02/11/2022
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