Organization
JEFFREY C. DAVENPORT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C DAVENPORT MD (OWNER)
(405) 341-1234
Entity
Organization
Contact information
Practice address
105 S BRYANT AVE, SUITE 301, EDMOND, OK 73034-6399
(405) 341-1234
(405) 359-1770
Mailing address
105 S BRYANT AVE, SUITE 301, EDMOND, OK 73034-6399
(405) 341-1234
(405) 359-1770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24933
OK
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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