Individual provider · Type 1 NPI
Darryl Lamont Davenport, PA-C
Medical Physician Assistant · Camp Pendlton, CA
NPI number
1396900965
Active
Practice location
200 Mercy Cr
Camp Pendlton, CA 92055
Mailing address
3406A Daly St
Twentynine Palms, CA 92277-9467
Other practice locations
- 100 Brewster Blvd, Attn II Mef Mhg Gas, Camp Lejeune, NC 28547-2538 · (910) 451-2635
- 27168 Newport Rd Ste 1, Menifee, CA 92584-7383 · (951) 246-3033
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 54451 (CA) |
| Medical Physician Assistant Primary | 363AM0700X | 54451 (CA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1396900965
Darryl Lamont Davenport, PA-C's National Provider Identifier is 1396900965, issued on Jul 23, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Camp Pendlton, CA. The record was last updated on Mar 11, 2025.