Organization
DAVIS CHIROPRACTIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL EVAN DAVIS D.C. (CEO)
(612) 386-7920
Entity
Organization
Contact information
Practice address
330 PRAIRIE CENTER DRIVE, 210, EDEN PRAIRIE, MN 55344
(612) 501-1036
Mailing address
689 WILLIAMS WAY, VERNON HILLS, IL 60061-3254
(612) 386-7920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2642
MN
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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