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.
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 |
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