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Derek Joseph Davenport, MD
Pediatrics Physician in Eagle Mountain, Utah
NPI 1346484581

Derek Joseph Davenport is a Pediatrics Physician based in Provo, UT. Derek Joseph Davenport practices in Eagle Mountain, UT and has the professional credentials of MD. The NPI Number for Derek Joseph Davenport is 1346484581 and holds a License No. 11327523-1205 (Utah).

The current practice location address for Derek Joseph Davenport is 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT and can be reached out via phone at 801-429-8037 and via fax at 801-753-7476.

Location: 4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT, 84604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346484581
Provider Name
Derek Joseph Davenport
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT, 84604
Phone Number
801-429-8037
Fax Number
801-753-7476
Provider Enumeration Date
04/30/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1346484581 01 NPI
500659989 05 OR
institution
Provider Business Practice Location Address Details
Address
4095 E Pony Express Pkwy Ste 1
City
Eagle Mountain
State
Utah
Zip
84005-5531
Phone Number
801-429-8037
Fax Number
801-753-7476
person
Provider Business Mailing Address Details
Address
4095 E Pony Express Pkwy Ste 1
City
Eagle Mountain
State
Utah
Zip
84005-5531
Phone Number
801-429-8037
Fax Number
801-753-7476
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD162235 (Oregon)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
11327523-1205 (Utah)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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