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Organization
KRIS I. DAVIS, DC INC.
Active
Organization
KRIS I. DAVIS, DC INC.
Active
Other names
Spinal Care Center of Utah
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL DAVENPORT D.C. (MANAGER/CHIROPRACTOR)
(801) 475-1910
Entity
Organization
Contact information
Practice address
1186 E 4600 S, #220, OGDEN, UT 84403-4332
(801) 475-1910
(801) 475-4245
Mailing address
1186 E 4600 S, #220, OGDEN, UT 84403-4332
(801) 475-1910
(801) 475-4245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6141291-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000060762
MEDICARE PTAN
UT
Enumeration date
05/13/2014
Last updated
05/13/2014
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