Davenport, David Gregory

Davenport, David Gregory is an sole proprietor health care provider with primary practice located at 2751 Debarr Rd Suite 390, Anchorage AK 99508-2952. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Davenport, David Gregory can be contacted via phone (907) 792-7920.

Contact Information

Primary practice address
2751 Debarr Rd Suite 390 Anchorage AK 99508-2952
Phone: (907) 792-7920
Fax: (907) 792-7901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X E1817 Arkansas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 6038 Alaska

Profile Details

NPI number 1174511919
LBN Legal business name Davenport, David Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Feb 5th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174511919 NPPES
Arkansas MEDICAID 141610001

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