1441 PARKWAY DR
BLACKFOOT, ID 83221-1667 US Accepts Medicare Payment
PECOS Enrolled
Overview
Hyrum Davenport is a Nurse Practitioner in the BLACKFOOT area and has over 18 years of experience. Hyrum Davenport primary office location is at 1441 PARKWAY DR and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2007 The NPI number is 1255567210 and the information was updated approximately 16 years ago.
Hyrum Davenport is affiliated with one medical group in the BLACKFOOT area, CANVI BEHAVIORAL HEALTH PLLC.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Yes
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| N-36016 | ID |
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