DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TERRY EVERT DAVENPORT, DO

Active

DR. TERRY EVERT DAVENPORT, DO is a Family Medicine healthcare provider located in ST MARIES, Idaho. NPI 1710974191 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ST MARIES, ID

Registration Details

NPI Number
1710974191
Provider Type
Individual
Gender
Male
NPI Issued
Sep 30, 2005 (20.697252668397 yrs)
Last Updated
Nov 15, 2023
Licenses
O-130 (ID)
O-130 (ID)

Practice Information

Address
229 S 8TH ST
ST MARIES, ID, 838611813
Browse ID providers · Browse ZIP 83861
Phone
2082452591
Fax
2082455246
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in ST MARIES, ID

Name Credential NPI
KAREN D LIBSCH MD 1114996428
DR. RALPH MARC SUTHERLIN D.O. 1245291772
DR. WILLIAM SCOTT SPENCE MD 1255351458
MRS. STEPHANIE MARIE ARAR MD 1316036189
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.