Davenport, Darryl Lamont

Davenport, Darryl Lamont is an individual health care provider with primary practice located at 27168 Newport Rd Ste 1 , Menifee CA 92584-7383. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Davenport, Darryl Lamont can be contacted via phone (951) 246-3033.

Contact Information

Primary practice address
27168 Newport Rd Ste 1 Menifee CA 92584-7383
Phone: (951) 246-3033
Fax: (951) 246-7373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 54451 California

Profile Details

NPI number 1396900965
LBN Legal business name Davenport, Darryl Lamont
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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