person
Cory Stephen Davenport, PA-C
Surgical Physician Assistant in Stockton, California
NPI 1730337858

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

The current practice location address for Cory Stephen Davenport is 530 W Acacia St Ste 23, Stockton, CA and can be reached out via phone at 209-242-7098 and via fax at 209-461-7579. You can also correspond with Cory Stephen Davenport through the mailing address at 7259 S BINGHAM JUNCTION BLVD, MIDVALE, UT - 84047-4860 (mailing address contact number: 866-615-5536).

Location: 530 W Acacia St Ste 23, Stockton, CA, 84047-4860
person
Provider Profile Details
NPI Number
1730337858
Provider Name
Cory Stephen Davenport
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
530 W Acacia St Ste 23, Stockton, CA, 84047-4860
Phone Number
209-242-7098
Fax Number
209-461-7579
Provider Enumeration Date
09/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
530 W Acacia St Ste 23
City
State
Zip
95203-2454
Phone Number
209-242-7098
Fax Number
209-461-7579
person
Provider Business Mailing Address Details
Address
530 W Acacia St Ste 23
City
State
Zip
95203-2454
Phone Number
209-242-7098
Fax Number
209-461-7579
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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