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Dr. Terry Evert Davenport, DO
Family Medicine Physician in St Maries, Idaho
NPI 1710974191

Terry Evert Davenport is a Family Medicine Physician based in St Maries, ID. Terry Evert Davenport practices in St Maries, ID and has the professional credentials of DO. The NPI Number for Terry Evert Davenport is 1710974191 and holds a License No. O-130 (Idaho).

The current practice location address for Terry Evert Davenport is 229 S 8Th St, St Maries, ID and can be reached out via phone at 208-245-2591 and via fax at 208-245-5246.

Location: 229 S 8Th St, St Maries, ID, 83861-1813
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Provider Profile Details
NPI Number
1710974191
Provider Name
Terry Evert Davenport
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
229 S 8Th St, St Maries, ID, 83861-1813
Phone Number
208-245-2591
Fax Number
208-245-5246
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
601415700 01 DEEIOC
S1303 01 ID BLUE CROSS OF ID
123363 01 WA DEPT OF LABOR&INDUSTRIES
8434839 05 WA
805169900 05 ID
000010004699 01 ID REGENCE BS OF ID
institution
Provider Business Practice Location Address Details
Address
229 S 8Th St
City
State
Zip
83861-1813
Phone Number
208-245-2591
Fax Number
208-245-5246
person
Provider Business Mailing Address Details
Address
229 S 8Th St
City
State
Zip
83861-1813
Phone Number
208-245-2591
Fax Number
208-245-5246
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
O-130 (Idaho)
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 is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Hospitalist
Speciality
-
Taxonomy
License No.
O-130 (Idaho)
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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