Individual provider · Type 1 NPI

Derek Joseph Davenport, MD

Pediatrics Physician · Eagle Mountain, UT

NPI number 1346484581 Active

Practice location

4095 E Pony Express Pkwy Ste 1
Eagle Mountain, UT 84005-5531

Call (801) 429-8037 Map

Fax (801) 753-7476

Mailing address

1055 N 500 W, Attn. Credentialing
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X11327523-1205 (UT)
Internal Medicine Physician 207R00000XMD162235 (OR)
Pediatrics Physician 208000000XMD162235 (OR)
Pediatrics Physician Primary 208000000X11327523-1205 (UT)

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

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About NPI 1346484581

Derek Joseph Davenport, MD's National Provider Identifier is 1346484581, issued on Apr 30, 2009. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Eagle Mountain, UT. The record was last updated on Nov 27, 2023.