HYRUM DAVENPORT

CHUBBUCK, ID
NPI1255567210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  NP-913A)
Enumeration Date2009-06-04
Last Update Date2025-09-23
Business Address
HYRUM DAVENPORT NP
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202-2376
Phone number: 208-252-5621
Mailing Address
HYRUM DAVENPORT NP
PO BOX 2516
POCATELLO, ID 83206-2516
Phone number: 208-252-5621
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