CORY STEPHEN DAVENPORT

STOCKTON, CA
NPI1730337858
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CA  55215)
Enumeration Date2008-09-03
Last Update Date2018-04-10
Business Address
CORY STEPHEN DAVENPORT PA-C
530 W ACACIA ST STE 23
STOCKTON, CA 95203-2454
Phone number: 209-242-7098
Mailing Address
CORY STEPHEN DAVENPORT PA-C
7259 S BINGHAM JUNCTION BLVD
MIDVALE, UT 84047-4860
Phone number: 866-615-5536
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