Individual
DAVID A DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5728
(814) 333-5726
Mailing address
8252 HIGHWAY 6, CONNEAUT LAKE, PA 16316-2240
(814) 683-2062
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN351307L
PA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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