person
Cory Stephen Davenport, PA-C
Surgical Physician Assistant in Flagstaff, Arizona
NPI 1730337858

Cory Stephen Davenport is a Surgical Physician Assistant based in Midvale, AZ and is specialized in Surgical. Cory Stephen Davenport practices in Flagstaff, AZ and has the professional credentials of PA-C. The NPI Number for Cory Stephen Davenport is 1730337858 and holds a License No. 55215 (Arizona).

The current practice location address for Cory Stephen Davenport is 1200 N Beaver St, Flagstaff, AZ and can be reached out via phone at 928-773-2332.

Location: 1200 N Beaver St, Flagstaff, AZ, 84047-4860
person
Provider Profile Details
NPI Number
1730337858
Provider Name
Cory Stephen Davenport
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1200 N Beaver St, Flagstaff, AZ, 84047-4860
Phone Number
928-773-2332
Fax Number
Provider Enumeration Date
09/03/2008
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1200 N Beaver St
City
State
Zip
86001-3118
Phone Number
928-773-2332
Fax Number
person
Provider Business Mailing Address Details
Address
1200 N Beaver St
City
State
Zip
86001-3118
Phone Number
928-773-2332
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
55215 (California)
Definition
Definition to come...
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