Individual
DR. THEODORE W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2505 KACHINA DR, PUEBLO, CO 81008-1573
(719) 544-2009
(719) 253-7734
Mailing address
2505 KACHINA DR, PUEBLO, CO 81008-1573
(719) 544-2009
(719) 253-7734
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR-6677
CO
Other
Enumeration date
05/02/2011
Last updated
02/12/2013
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