Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEREK JOSEPH DAVENPORT, M.D.
ActiveDEREK JOSEPH DAVENPORT, M.D. is a Pediatrics healthcare provider located in EAGLE MOUNTAIN, Utah. NPI 1346484581 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · EAGLE MOUNTAIN, UT
Registration Details
- NPI Number
- 1346484581
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2009 (17.307797468747 yrs)
- Last Updated
- Nov 27, 2023
- Licenses
-
11327523-1205 (UT)MD162235 (OR)MD162235 (OR)11327523-1205 (UT)
Practice Information
- Address
-
4095 E PONY EXPRESS PKWY STE 1EAGLE MOUNTAIN, UT, 840055531Browse UT providers · Browse ZIP 84005
- Phone
- 8014298037
- Fax
- 8017537476
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in EAGLE MOUNTAIN, UT
| Name | Credential | NPI |
|---|---|---|
| GARRETT BURGON | — | 1396322699 |
| JONATHAN MITTON | DO | 1992440143 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.