Provider profile

Individual

Derek Joseph Davenport

Pediatrics in Eagle Mountain, UT. NPI 1346484581, listed in the CMS NPI Registry since 04/30/2009. Bills Medicare.

NPI 1346484581Specialty PediatricsEnumerated 04/30/2009
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Registry and Medicare facts

Practice location
4095 E Pony Express Pkwy Ste 1, Eagle Mountain, UT 84005
CMS NPI Registry
Phone
(801) 429-8037
CMS NPI Registry
Specialty
Pediatrics
CMS NPI Registry
Enumeration date
04/30/2009
CMS NPI Registry
Bills Medicare
Yes
CMS Medicare 2024
Medicare patients
126 Part B, 281 with Part D prescriptions
CMS Medicare 2024

Top 3% of pediatric medicine providers in UT by Medicare Part D patients

CMS Medicare 2024

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