Search › Idaho › 101YP2500X
Robert Davenport
NPI 1457190951 · on the registry since 2024
Practice
- Address
- 420 S 4th Ave
Pocatello, ID 83201 - Phone
- (208) 478-9081
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-26
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 Idaho