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Individual
THOMAS DAVIS
Active
Individual
THOMAS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005985
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5204120
AETNA
MO
01
—
628152
OPTUM UHC
MO
01
—
P02829138
RAILROAD MEDICARE
MO
Enumeration date
06/07/2006
Last updated
07/16/2026
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