Organization
J MICHAEL DAVIS DC A PROFESSIONAL CHIROPRACTIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL DAVIS DC (CHIEF EXECUTIVE OFFICER)
(805) 489-2200
Entity
Organization
Contact information
Practice address
902 W GRAND AVE, GROVER BEACH, CA 93433-2136
(805) 489-2200
(805) 489-1144
Mailing address
902 W GRAND AVE, GROVER BEACH, CA 93433-2136
(805) 489-2200
(805) 489-1144
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
DC12649
CA
Other
Enumeration date
09/03/2010
Last updated
09/15/2011
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