SPENCER LANCE DAVENPORT PA-C NPI 1649553835

NPI Information

NPI: 1649553835
Provider Name: SPENCER LANCE DAVENPORT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4403 HARRISON BLVD STE 2600
OGDEN, UT
ZIP 84403
Phone: (801) 387-5620
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Spencer Lance Davenport, PA-C is a medical physician assistant in Ogden, UT with 13 years of experience. Spencer Lance Davenport, PA-C NPI is 1649553835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4403 HARRISON BLVD STE 2600
OGDEN, UT
ZIP 84403-277
Phone: (801) 387-5620

The NPI 1649553835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/23/2011 and was last updated on 8/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5929015-8906	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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