Individual
DR. JUSTIN DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
819 W 5TH ST, WASHINGTON, MO 63090-1923
(636) 239-4454
Mailing address
819 W 5TH ST, WASHINGTON, MO 63090-1923
(636) 239-4454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011017579
MO
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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