Individual provider · Type 1 NPI

Melissa M. Davenport, PA

Medical Physician Assistant · Rigby, ID

NPI number 1538425822 Active

About NPI 1538425822

Melissa M. Davenport, PA's National Provider Identifier is 1538425822, issued on Apr 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rigby, ID. The record was last updated on Apr 11, 2012.