HYRUM DAVENPORT

BLACKFOOT, ID
NPI1255567210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: ID  N-36016)
Enumeration Date2009-06-04
Last Update Date2009-06-04
Business Address
-- HYRUM DAVENPORT NP
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
Mailing Address
-- HYRUM DAVENPORT NP
1441 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-785-2600
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