Individual
DR. MARK S. DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
173462
NY
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
173462
NY
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
173462
NY
Other
Enumeration date
07/17/2006
Last updated
12/29/2009
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