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Mark Davenport, M.D
NPI 1679569636 · on the registry since 2005
Practice
- Address
- 1835 Sunny Crest Dr
Fullerton, CA 92835 - Phone
- (714) 446-5101
- Clinicians at this address
- 15
Additional practice sites
- 2151 N Harbor Blvd, Fullerton, CA
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-19
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 California