Individual
MICHAEL PATRICK DAVENPORT
Active
Individual
MICHAEL PATRICK DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125.069792
IL
207L00000X
Anesthesiology Physician
Primary
310510
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT219807
PA
Other
Enumeration date
04/14/2016
Last updated
03/04/2025
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