Individual
MAURA DAVENPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-4223
(406) 682-4756
Mailing address
305 N MAIN ST, ENNIS, MT 59729-8001
(406) 682-4223
(406) 682-4756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4000
CO
Other
Enumeration date
05/23/2011
Last updated
02/03/2025
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