person
Melissa M Davenport, PA
Medical Physician Assistant in Rigby, Idaho
NPI 1538425822

Melissa M Davenport is a Medical Physician Assistant based in Rigby, ID and is specialized in Medical. Melissa M Davenport practices in Rigby, ID and has the professional credentials of PA. The NPI Number for Melissa M Davenport is 1538425822 and holds a License No. (Idaho).

The current practice location address for Melissa M Davenport is 167 E 1St S, Rigby, ID and can be reached out via phone at 208-745-8747 and via fax at 208-745-9396. You can also correspond with Melissa M Davenport through the mailing address at 167 E 1ST S, RIGBY, ID - 83442 (mailing address contact number: 208-745-8747).

Location: 167 E 1St S, Rigby, ID, 83442
person
Provider Profile Details
NPI Number
1538425822
Provider Name
Melissa M Davenport
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
167 E 1St S, Rigby, ID, 83442
Phone Number
208-745-8747
Fax Number
208-745-9396
Provider Enumeration Date
04/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
167 E 1St S
City
State
Zip
83442-1401
Phone Number
208-745-8747
Fax Number
208-745-9396
person
Provider Business Mailing Address Details
Address
167 E 1St S
City
State
Zip
83442-1401
Phone Number
208-745-8747
Fax Number
208-745-9396
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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