Search › Idaho › 207Q00000X
Terry Davenport, DO
NPI 1710974191 · on the registry since 2005
Practice
- Address
- 229 S 8th St
St Maries, ID 83861 - Phone
- (208) 245-2591
- Fax
- (208) 245-5246
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208M00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-15
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