Individual
BRIAN DOUGLAS DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
652 S MEDICAL CENTER DR, SUITE #420, ST GEORGE, UT 84790-7049
(435) 251-6800
(435) 251-6801
Mailing address
652 S MEDICAL CENTER DR, SUITE #420, ST GEORGE, UT 84790-7049
(435) 251-6800
(435) 251-6801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5916581-4405
UT
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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