Organization · Type 2 NPI
Davenport Family Medical Clinic LLC
Primary Care Clinic/Center · Deridder, LA
NPI number
1063642114
Active
Practice location
101 W 6th St
Deridder, LA 70634-4963
Fax (337) 460-0961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Deridder
About NPI 1063642114
Davenport Family Medical Clinic LLC's National Provider Identifier is 1063642114, issued on Jul 23, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Deridder, LA. The record was last updated on Jul 23, 2009.