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Bobby Davenport

NPI 1417303058 · on the registry since 2016

Practice

Address
1613 5th St Nw
Albuquerque, NM 87102
Phone
(505) 392-0839

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico