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General NPI Number Information
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NPI Number | 1558353052
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Entity Type | Individual
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Provider Name | DAVID E DAVENPORT MD
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 1204 N VERCLER RD STE 101
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City | SPOKANE VALLEY
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State | WA
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Zip | 99216-1020
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9300
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Provider Business Mailing Address
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Address Line | PO BOX 3868
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City | SPOKANE
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State | WA
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Zip | 99220-3868
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Country | US
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Telephone | 509-228-1000
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Fax | 509-252-9300
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | M5335
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License Number State | ID
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