Mark B Davenport in Fullerton - Family Medicine
Mark B Davenport - NPI 1679569636
Mark B Davenport is a Family Medicine in Fullerton, California. Mark B Davenport practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark B Davenport is 1679569636. The last update date is 2020-10-19.
Mark B Davenport's current location address is 1835 Sunny Crest Dr, Fullerton, California. You can contact this provider via phone number 7144465101. The mailing address for Mark B Davenport is 1835 Sunny Crest Dr, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Davenport |
|---|---|
| Address | 1835 Sunny Crest Dr, Fullerton, California |
| Phone Number | 7144465101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679569636 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2020-10-19 |
Provider Mailing Address Detail
| Address | 1835 Sunny Crest Dr |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928353616 |
| Phone Number | 7144465101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A40119 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Mark B Davenport by the Centers for Medicare & Medicaid Services?
The Mark B Davenport has been issued the NPI (National Provider Identifier) 1679569636 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark B Davenport's facilities are geographically located?
The facilities of Mark B Davenport are physically situated at the following location: 1835 Sunny Crest Dr, Fullerton, CA, 928353616.
What is the area of specialization for Mark B Davenport, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark B Davenport is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Mark B Davenport receive the assignment of its 1679569636 from the Centers for Medicare & Medicaid Services?
The Mark B Davenport was issued its 1679569636 by the Centers for Medicare & Medicaid Services on 2005-09-26.
When was the information regarding Mark B Davenport most recently updated?
The details pertaining to the Mark B Davenport, including its address, specialty, and other relevant information, were last refreshed on 2020-10-19.