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Organization
CLAYTON DIRK DAVIS
Active
Organization
CLAYTON DIRK DAVIS
Active
Other names
DAVIS CHIROPRACTIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON DIRK DAVIS D.C. (OWNER)
(870) 886-8711
Entity
Organization
Contact information
Practice address
201 E MAIN ST, WALNUT RIDGE, AR 72476-2438
(870) 886-8711
(870) 886-8712
Mailing address
201 E MAIN ST, P.O.BOX 307, WALNUT RIDGE, AR 72476-2438
(870) 886-8711
(870) 886-8712
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126071718
—
AR
01
—
59879
ABCBS
AR
Enumeration date
09/13/2007
Last updated
03/01/2012
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