Individual provider · Type 1 NPI

Cory Stephen Davenport, PA-C

Surgical Physician Assistant · Flagstaff, AZ

NPI number 1730337858 Active

Practice location

1200 N Beaver St
Flagstaff, AZ 86001-3118

Call (928) 773-2332 Map

Mailing address

7259 S Bingham Junction Blvd
Midvale, UT 84047-4860

Other practice locations

  • 530 W Acacia St Ste 23, Stockton, CA 95203-2454 · (209) 242-7098

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X55215 (CA)
Surgical Physician Assistant Primary 363AS0400X10807 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1730337858

Cory Stephen Davenport, PA-C's National Provider Identifier is 1730337858, issued on Sep 3, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Flagstaff, AZ. The record was last updated on Feb 6, 2025.