| Jeffrey C. Davenport, Md, Pc | |
|
105 S Bryant Ave Suite 301 Edmond OK 73034-6399 | |
| (405) 341-1234 | |
| (405) 359-1770 |
| Full Name | Jeffrey C. Davenport, Md, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 S Bryant Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Jeffrey C Davenport (OWNER) |
| Authorized Official Contact | 4053411234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey C. Davenport, Md, Pc 105 S Bryant Ave Suite 301 Edmond OK 73034-6399 Ph: (405) 341-1234 | Jeffrey C. Davenport, Md, Pc 105 S Bryant Ave Suite 301 Edmond OK 73034-6399 Ph: (405) 341-1234 |
| NPI Number | 1770699449 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770699449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24933 (Oklahoma) | Primary |
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