Dr MELISSA DAVENPORT is a female medical professional, specializing in Physician Assistant. She graduated in 2011.
MOUNTAIN VIEW HOSPITAL LLC
2325 CORONADO ST
IDAHO FALLS
ID
834047407
Tel: 2085572700
| Npi | 1538425822 |
| Pac Id | 2163688169 |
| Professional Enrollment Id | I20120719000002 |
| Last Name | DAVENPORT |
| First Name | MELISSA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | MOUNTAIN VIEW HOSPITAL LLC |
| Group Practice Pac Id | 4486562774 |
| Number Of Group Practice Members | 110 |
| Line 1 Street Address | 2325 CORONADO ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047407 |
| Phone Number | 2085572700 |
| Hospital Affiliation Ccn 1 | 130065 |
| Hospital Affiliation Lbn 1 | MOUNTAIN VIEW HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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