Terry Evert Davenport in St Maries - Family Medicine
Terry Evert Davenport - NPI 1710974191
Terry Evert Davenport is a Family Medicine in St Maries, Idaho. Terry Evert Davenport practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Terry Evert Davenport is 1710974191. The last update date is 2023-11-15.
Terry Evert Davenport's current location address is 229 S 8th St, St Maries, Idaho. You can contact this provider via phone number 2082452591 and fax number 2082455246. The mailing address for Terry Evert Davenport is 229 S 8th St, St Maries, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Evert Davenport |
|---|---|
| Address | 229 S 8th St, St Maries, Idaho |
| Phone Number | 2082452591 |
| Fax Number | 2082455246 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1710974191 |
|---|---|
| Provider Enumeration Date | 2005-09-30 |
| Last Updated Date | 2023-11-15 |
Provider Mailing Address Detail
| Address | 229 S 8th St |
|---|---|
| City | St Maries |
| State | Idaho (ID) |
| Post Code | 838611813 |
| Phone Number | 2082452591 |
| Fax Number | 2082455246 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | O-130 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 601415700 | DEEIOC | ||
| S1303 | ID | BLUE CROSS OF ID | |
| 123363 | WA | DEPT OF LABOR&INDUSTRIES | |
| 8434839 | WA | -- | |
| 805169900 | ID | -- | |
| 10004699 | ID | REGENCE BS OF ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Terry Evert Davenport by the Centers for Medicare & Medicaid Services?
The Terry Evert Davenport has been assigned the NPI (National Provider Identifier) 1710974191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Terry Evert Davenport located?
The Terry Evert Davenport is located at 229 S 8Th St, St Maries, ID 838611813.
What is the Terry Evert Davenport's specialty and taxonomy code?
The Terry Evert Davenport's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Terry Evert Davenport receive its 1710974191 assignment from the Centers for Medicare & Medicaid Services?
The Terry Evert Davenport was assigned its 1710974191 by the Centers for Medicare & Medicaid Services on 2005-09-30.
When was the information regarding Terry Evert Davenport, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Terry Evert Davenport, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-11-15.